Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.66 / $1,469.18 / $14,482.00	Facility		$911.66	$1,469.18	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.88 / $911.66 / $1,469.18	Professional		$502.88	$911.66	$1,469.18
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 $727.09 / $1,781.42 / $4,418.21	Professional		$727.09	$1,781.42	$4,418.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,824.77 / $2,132.39 / $3,439.46	Facility		$1,824.77	$2,132.39	$3,439.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,277.15 / $2,212.57 / $2,930.71	Professional		$1,277.15	$2,212.57	$2,930.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $718.27 / $1,017.93 / $1,416.48	Facility		$718.27	$1,017.93	$1,416.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $827.81 / $2,803.00 / $7,868.00	Facility		$827.81	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $876.07 / $2,469.61 / $4,082.29	Professional		$876.07	$2,469.61	$4,082.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $961.71 / $1,821.68	Professional		$85.00	$961.71	$1,821.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $718.27 / $1,017.93 / $1,416.48	Facility		$718.27	$1,017.93	$1,416.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,473.55 / $2,275.39 / $2,974.69	Professional		$1,473.55	$2,275.39	$2,974.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,197.97 / $18,197.97 / $18,197.97	Facility		$18,197.97	$18,197.97	$18,197.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,270.09 / $3,620.05 / $5,451.76	Professional		$1,270.09	$3,620.05	$5,451.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,760.06 / $3,760.06 / $3,760.06	Professional		$3,760.06	$3,760.06	$3,760.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,958.00 / $4,958.00 / $4,958.00	Professional		$4,958.00	$4,958.00	$4,958.00
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 $876.07 / $2,405.63 / $3,564.71	Professional		$876.07	$2,405.63	$3,564.71