Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.65 / $1,645.74 / $14,482.00	Facility		$966.65	$1,645.74	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.10 / $966.65 / $2,831.62	Professional		$639.10	$966.65	$2,831.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,523.00 / $18,617.00	Facility		$7,084.00	$11,523.00	$18,617.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $792.19 / $2,135.79 / $4,741.74	Professional		$792.19	$2,135.79	$4,741.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,061.76 / $2,409.33 / $3,886.17	Facility		$2,061.76	$2,409.33	$3,886.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,389.74 / $2,452.92 / $3,311.97	Professional		$1,389.74	$2,452.92	$3,311.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $804.58 / $1,130.98 / $1,764.68	Facility		$804.58	$1,130.98	$1,764.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $922.03 / $3,501.30 / $11,598.00	Facility		$922.03	$3,501.30	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $950.11 / $2,616.01 / $5,607.93	Professional		$950.11	$2,616.01	$5,607.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.91 / $699.16 / $1,780.02	Professional		$62.91	$699.16	$1,780.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $804.58 / $1,130.98 / $1,764.68	Facility		$804.58	$1,130.98	$1,764.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,642.55 / $2,527.00 / $3,218.31	Professional		$1,642.55	$2,527.00	$3,218.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,476.96 / $15,476.96 / $15,476.96	Facility		$15,476.96	$15,476.96	$15,476.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,422.53 / $3,951.25 / $12,630.10	Professional		$1,422.53	$3,951.25	$12,630.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,955.36 / $1,955.36 / $1,955.36	Professional		$1,955.36	$1,955.36	$1,955.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,053.01 / $4,787.12 / $4,787.12	Professional		$2,053.01	$4,787.12	$4,787.12
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $950.11 / $2,408.44 / $3,532.42	Professional		$950.11	$2,408.44	$3,532.42