Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $931.99 / $1,895.04 / $14,482.00	Facility		$931.99	$1,895.04	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $875.01 / $952.86 / $3,085.11	Professional		$875.01	$952.86	$3,085.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,695.00 / $15,668.00	Facility		$5,479.00	$9,695.00	$15,668.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $909.49 / $2,361.46 / $6,293.50	Professional		$909.49	$2,361.46	$6,293.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,378.06 / $2,778.95 / $4,482.34	Facility		$2,378.06	$2,778.95	$4,482.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,254.94 / $2,877.07 / $3,808.24	Professional		$1,254.94	$2,877.07	$3,808.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $926.46 / $1,227.04 / $1,849.41	Facility		$926.46	$1,227.04	$1,849.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $931.99 / $1,890.00 / $8,384.00	Facility		$931.99	$1,890.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,062.41 / $2,473.10 / $6,213.93	Professional		$1,062.41	$2,473.10	$6,213.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $620.64 / $1,934.86	Professional		$62.69	$620.64	$1,934.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $931.99 / $1,273.29 / $1,849.41	Facility		$931.99	$1,273.29	$1,849.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,805.70 / $2,788.28 / $3,742.43	Professional		$1,805.70	$2,788.28	$3,742.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,623.04 / $8,623.04 / $8,623.04	Facility		$8,623.04	$8,623.04	$8,623.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,282.11 / $4,496.55 / $7,127.82	Professional		$1,282.11	$4,496.55	$7,127.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,714.51 / $4,714.51 / $4,714.51	Professional		$4,714.51	$4,714.51	$4,714.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,405.43 / $5,440.24 / $5,440.24	Professional		$4,405.43	$5,440.24	$5,440.24
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,048.76 / $2,762.03 / $4,442.29	Professional		$1,048.76	$2,762.03	$4,442.29