Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $972.32 / $1,565.17 / $14,482.00	Facility		$972.32	$1,565.17	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.87 / $972.32 / $2,773.49	Professional		$539.87	$972.32	$2,773.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $773.96 / $1,902.06 / $4,712.28	Professional		$773.96	$1,902.06	$4,712.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,944.62 / $2,272.44 / $3,665.36	Facility		$1,944.62	$2,272.44	$3,665.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,321.70 / $2,358.23 / $3,120.62	Professional		$1,321.70	$2,358.23	$3,120.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $765.19 / $1,220.35 / $3,056.79	Facility		$765.19	$1,220.35	$3,056.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $881.92 / $2,803.00 / $7,700.00	Facility		$881.92	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $942.83 / $2,347.31 / $4,567.72	Professional		$942.83	$2,347.31	$4,567.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,107.91 / $1,948.09	Professional		$85.00	$1,107.91	$1,948.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $765.19 / $1,220.35 / $3,056.79	Facility		$765.19	$1,220.35	$3,056.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,569.75 / $2,423.94 / $3,170.54	Professional		$1,569.75	$2,423.94	$3,170.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,655.88 / $3,655.88 / $3,655.88	Facility		$3,655.88	$3,655.88	$3,655.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,353.72 / $3,873.45 / $10,057.00	Professional		$1,353.72	$3,873.45	$10,057.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,010.34 / $4,010.34 / $4,010.34	Professional		$4,010.34	$4,010.34	$4,010.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,553.97 / $5,284.48 / $5,284.48	Professional		$3,553.97	$5,284.48	$5,284.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $937.63 / $2,564.40 / $3,799.97	Professional		$937.63	$2,564.40	$3,799.97