Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.64 / $1,840.86 / $14,482.00	Facility		$905.64	$1,840.86	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.42 / $923.77 / $2,991.68	Professional		$850.42	$923.77	$2,991.68
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 $882.28 / $2,340.85 / $6,114.76	Professional		$882.28	$2,340.85	$6,114.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,311.37 / $2,701.02 / $4,356.64	Facility		$2,311.37	$2,701.02	$4,356.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,219.06 / $2,796.02 / $3,699.44	Professional		$1,219.06	$2,796.02	$3,699.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $899.98 / $1,192.74 / $1,759.04	Facility		$899.98	$1,192.74	$1,759.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $905.64 / $1,821.49 / $7,700.00	Facility		$905.64	$1,821.49	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,027.84 / $2,409.77 / $6,042.32	Professional		$1,027.84	$2,409.77	$6,042.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $753.35 / $1,934.86	Professional		$63.30	$753.35	$1,934.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $905.64 / $1,223.55 / $1,759.04	Facility		$905.64	$1,223.55	$1,759.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,753.70 / $2,707.98 / $3,639.07	Professional		$1,753.70	$2,707.98	$3,639.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,381.44 / $8,381.44 / $8,381.44	Facility		$8,381.44	$8,381.44	$8,381.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,246.00 / $4,381.39 / $6,690.08	Professional		$1,246.00	$4,381.39	$6,690.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,580.62 / $4,580.62 / $4,580.62	Professional		$4,580.62	$4,580.62	$4,580.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,272.01 / $5,286.95 / $5,286.95	Professional		$4,272.01	$5,286.95	$5,286.95
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 $936.16 / $2,572.19 / $4,316.74	Professional		$936.16	$2,572.19	$4,316.74