Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.53 / $2,009.47 / $14,482.00	Facility		$988.53	$2,009.47	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $927.79 / $1,009.94 / $3,504.65	Professional		$927.79	$1,009.94	$3,504.65
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 $964.84 / $2,504.73 / $6,681.76	Professional		$964.84	$2,504.73	$6,681.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,521.33 / $2,946.38 / $4,752.39	Facility		$2,521.33	$2,946.38	$4,752.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,330.71 / $3,051.73 / $4,035.88	Professional		$1,330.71	$3,051.73	$4,035.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $982.41 / $1,299.98 / $1,960.41	Facility		$982.41	$1,299.98	$1,960.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $988.53 / $1,995.00 / $7,700.00	Facility		$988.53	$1,995.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,143.10 / $2,634.64 / $6,606.21	Professional		$1,143.10	$2,634.64	$6,606.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $642.15 / $2,029.35	Professional		$62.69	$642.15	$2,029.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $987.72 / $1,350.78 / $1,960.41	Facility		$987.72	$1,350.78	$1,960.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,914.25 / $2,955.90 / $3,978.67	Professional		$1,914.25	$2,955.90	$3,978.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,147.52 / $9,147.52 / $9,147.52	Facility		$9,147.52	$9,147.52	$9,147.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,359.95 / $4,790.25 / $7,304.24	Professional		$1,359.95	$4,790.25	$7,304.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,005.35 / $5,005.35 / $5,005.35	Professional		$5,005.35	$5,005.35	$5,005.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,887.93 / $5,770.47 / $5,770.47	Professional		$4,887.93	$5,770.47	$5,770.47
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 $1,143.10 / $2,757.59 / $4,711.83	Professional		$1,143.10	$2,757.59	$4,711.83