Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.43 / $1,942.27 / $14,482.00	Facility		$955.43	$1,942.27	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $896.75 / $975.63 / $3,159.49	Professional		$896.75	$975.63	$3,159.49
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 $932.20 / $2,420.87 / $6,455.73	Professional		$932.20	$2,420.87	$6,455.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,436.63 / $2,847.39 / $4,592.74	Facility		$2,436.63	$2,847.39	$4,592.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,286.22 / $2,949.29 / $3,901.30	Professional		$1,286.22	$2,949.29	$3,901.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $949.55 / $1,256.91 / $1,894.86	Facility		$949.55	$1,256.91	$1,894.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $955.43 / $1,995.00 / $7,700.00	Facility		$955.43	$1,995.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,099.25 / $2,546.12 / $6,382.54	Professional		$1,099.25	$2,546.12	$6,382.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $620.64 / $1,964.20	Professional		$62.69	$620.64	$1,964.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $955.21 / $1,305.08 / $1,894.86	Facility		$955.21	$1,305.08	$1,894.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,851.20 / $2,858.54 / $3,843.97	Professional		$1,851.20	$2,858.54	$3,843.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,841.04 / $8,841.04 / $8,841.04	Facility		$8,841.04	$8,841.04	$8,841.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,314.31 / $4,629.30 / $7,127.82	Professional		$1,314.31	$4,629.30	$7,127.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,836.04 / $4,836.04 / $4,836.04	Professional		$4,836.04	$4,836.04	$4,836.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,511.63 / $5,576.82 / $5,576.82	Professional		$4,511.63	$5,576.82	$5,576.82
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 $1,101.79 / $3,297.36 / $4,620.50	Professional		$1,101.79	$3,297.36	$4,620.50