Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.47 / $1,488.78 / $14,482.00	Facility		$918.47	$1,488.78	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.41 / $918.47 / $3,102.52	Professional		$615.41	$918.47	$3,102.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $3,163.00 / $5,768.00	Facility		$1,314.00	$3,163.00	$5,768.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $821.76 / $1,944.28 / $4,815.67	Professional		$821.76	$1,944.28	$4,815.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,851.80 / $2,163.98 / $3,490.42	Facility		$1,851.80	$2,163.98	$3,490.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,257.19 / $2,244.34 / $3,069.59	Professional		$1,257.19	$2,244.34	$3,069.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $727.85 / $1,154.45 / $2,100.00	Facility		$727.85	$1,154.45	$2,100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $843.46 / $2,433.50 / $4,793.00	Facility		$843.46	$2,433.50	$4,793.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $987.74 / $2,487.33 / $4,840.18	Professional		$987.74	$2,487.33	$4,840.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $864.67 / $1,696.33	Professional		$76.54	$864.67	$1,696.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $727.85 / $1,154.45 / $2,100.00	Facility		$727.85	$1,154.45	$2,100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,503.45 / $2,321.56 / $3,017.41	Professional		$1,503.45	$2,321.56	$3,017.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,712.45 / $9,712.45 / $9,712.45	Facility		$9,712.45	$9,712.45	$9,712.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.33 / $4,104.50 / $7,411.80	Professional		$1,288.33	$4,104.50	$7,411.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,779.16 / $3,779.16 / $3,779.16	Professional		$3,779.16	$3,779.16	$3,779.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,033.39 / $5,029.26 / $5,029.26	Professional		$4,033.39	$5,029.26	$5,029.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,944.00 / $3,068.00 / $4,295.00	Facility		$1,944.00	$3,068.00	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $959.51 / $2,487.33 / $4,008.19	Professional		$959.51	$2,487.33	$4,008.19