Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.73 / $1,909.19 / $14,482.00	Facility		$938.73	$1,909.19	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $881.29 / $958.39 / $3,103.08	Professional		$881.29	$958.39	$3,103.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,705.54 / $18,141.00	Facility		$6,538.00	$10,705.54	$18,141.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $915.36 / $2,378.55 / $6,341.79	Professional		$915.36	$2,378.55	$6,341.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,395.17 / $2,798.95 / $4,514.60	Facility		$2,395.17	$2,798.95	$4,514.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,264.32 / $2,897.66 / $3,835.45	Professional		$1,264.32	$2,897.66	$3,835.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $938.73 / $1,281.50 / $3,574.08	Facility		$938.73	$1,281.50	$3,574.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $938.73 / $2,429.00 / $7,700.00	Facility		$938.73	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,059.23 / $2,500.16 / $6,268.11	Professional		$1,059.23	$2,500.16	$6,268.11
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 $938.73 / $1,343.10 / $3,574.08	Facility		$938.73	$1,343.10	$3,574.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,819.35 / $2,809.36 / $3,775.05	Professional		$1,819.35	$2,809.36	$3,775.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,685.20 / $8,685.20 / $8,685.20	Facility		$8,685.20	$8,685.20	$8,685.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,291.29 / $4,545.75 / $7,127.82	Professional		$1,291.29	$4,545.75	$7,127.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,750.68 / $4,750.68 / $4,750.68	Professional		$4,750.68	$4,750.68	$4,750.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,431.12 / $5,479.12 / $5,479.12	Professional		$4,431.12	$5,479.12	$5,479.12
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 $1,059.23 / $2,571.38 / $4,474.42	Professional		$1,059.23	$2,571.38	$4,474.42