Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.97 / $1,568.30 / $14,482.00	Facility		$973.97	$1,568.30	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.79 / $973.97 / $2,785.81	Professional		$539.79	$973.97	$2,785.81
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 $780.21 / $1,902.89 / $4,721.63	Professional		$780.21	$1,902.89	$4,721.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.12 / $2,277.69 / $3,673.86	Facility		$1,949.12	$2,277.69	$3,673.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,324.33 / $2,362.98 / $3,126.38	Professional		$1,324.33	$2,362.98	$3,126.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $766.72 / $1,092.29 / $1,511.51	Facility		$766.72	$1,092.29	$1,511.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $883.73 / $2,803.00 / $7,868.00	Facility		$883.73	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $961.35 / $2,702.24 / $4,565.31	Professional		$961.35	$2,702.24	$4,565.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,100.53 / $1,948.09	Professional		$85.00	$1,100.53	$1,948.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $766.72 / $1,092.29 / $1,511.51	Facility		$766.72	$1,092.29	$1,511.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,573.00 / $2,428.94 / $3,176.90	Professional		$1,573.00	$2,428.94	$3,176.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,437.81 / $19,437.81 / $19,437.81	Facility		$19,437.81	$19,437.81	$19,437.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,356.43 / $4,344.00 / $5,823.84	Professional		$1,356.43	$4,344.00	$5,823.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,018.31 / $4,018.31 / $4,018.31	Professional		$4,018.31	$4,018.31	$4,018.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,561.08 / $5,295.04 / $5,295.04	Professional		$3,561.08	$5,295.04	$5,295.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $937.18 / $2,509.42 / $3,953.94	Professional		$937.18	$2,509.42	$3,953.94