Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.60 / $1,935.85 / $14,482.00	Facility		$962.60	$1,935.85	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.97 / $980.07 / $3,184.73	Professional		$903.97	$980.07	$3,184.73
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 $933.76 / $2,439.03 / $6,494.93	Professional		$933.76	$2,439.03	$6,494.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,429.42 / $2,838.97 / $4,579.16	Facility		$2,429.42	$2,838.97	$4,579.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,281.96 / $2,939.45 / $3,888.42	Professional		$1,281.96	$2,939.45	$3,888.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $962.60 / $1,307.26 / $3,139.48	Facility		$962.60	$1,307.26	$3,139.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $962.60 / $2,429.00 / $7,700.00	Facility		$962.60	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,091.07 / $2,555.71 / $6,384.87	Professional		$1,091.07	$2,555.71	$6,384.87
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 $962.60 / $1,307.26 / $3,139.48	Facility		$962.60	$1,307.26	$3,139.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,844.70 / $2,848.50 / $3,845.37	Professional		$1,844.70	$2,848.50	$3,845.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,810.40 / $8,810.40 / $8,810.40	Facility		$8,810.40	$8,810.40	$8,810.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,309.92 / $4,646.75 / $7,034.40	Professional		$1,309.92	$4,646.75	$7,034.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,865.39 / $4,865.39 / $4,865.39	Professional		$4,865.39	$4,865.39	$4,865.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,475.87 / $5,558.18 / $5,558.18	Professional		$2,475.87	$5,558.18	$5,558.18
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 $1,082.63 / $2,722.28 / $4,588.22	Professional		$1,082.63	$2,722.28	$4,588.22