Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $940.31 / $2,034.27 / $14,482.00	Facility		$940.31	$2,034.27	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $811.90 / $940.31 / $3,153.21	Professional		$811.90	$940.31	$3,153.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $11,777.00 / $19,639.00	Facility		$5,479.00	$11,777.00	$19,639.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $949.79 / $2,580.48 / $6,636.14	Professional		$949.79	$2,580.48	$6,636.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,557.38 / $2,988.50 / $4,820.34	Facility		$2,557.38	$2,988.50	$4,820.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,808.24 / $3,056.46 / $4,096.01	Professional		$1,808.24	$3,056.46	$4,096.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $940.31 / $1,329.71 / $1,943.86	Facility		$940.31	$1,329.71	$1,943.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $994.53 / $4,103.00 / $8,783.00	Facility		$994.53	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,098.71 / $2,577.88 / $5,542.06	Professional		$1,098.71	$2,577.88	$5,542.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $630.20 / $2,051.62	Professional		$90.73	$630.20	$2,051.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $940.31 / $1,329.71 / $1,943.86	Facility		$940.31	$1,329.71	$1,943.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,022.15 / $3,111.00 / $4,196.68	Professional		$2,022.15	$3,111.00	$4,196.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,214.55 / $15,214.55 / $15,214.55	Facility		$15,214.55	$15,214.55	$15,214.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,902.26 / $4,773.85 / $11,940.77	Professional		$1,902.26	$4,773.85	$11,940.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,300.83 / $4,300.83 / $4,300.83	Professional		$4,300.83	$4,300.83	$4,300.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,702.16 / $5,413.10 / $5,413.10	Professional		$1,702.16	$5,413.10	$5,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.91 / $2,609.46 / $4,184.28	Professional		$1,071.91	$2,609.46	$4,184.28