Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.30 / $1,919.25 / $14,482.00	Facility		$942.30	$1,919.25	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $910.98 / $947.01 / $3,174.14	Professional		$910.98	$947.01	$3,174.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $894.00 / $2,387.60 / $6,366.01	Professional		$894.00	$2,387.60	$6,366.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,411.40 / $2,817.91 / $4,545.18	Facility		$2,411.40	$2,817.91	$4,545.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,270.97 / $2,905.62 / $3,872.67	Professional		$1,270.97	$2,905.62	$3,872.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $938.30 / $1,251.59 / $1,881.36	Facility		$938.30	$1,251.59	$1,881.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $942.30 / $2,429.00 / $7,700.00	Facility		$942.30	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,068.56 / $2,287.83 / $6,099.23	Professional		$1,068.56	$2,287.83	$6,099.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $834.57 / $2,108.71	Professional		$63.30	$834.57	$2,108.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $942.30 / $1,316.19 / $1,881.36	Facility		$942.30	$1,316.19	$1,881.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,901.90 / $2,926.00 / $3,673.34	Professional		$1,901.90	$2,926.00	$3,673.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,938.64 / $8,938.64 / $8,938.64	Facility		$8,938.64	$8,938.64	$8,938.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,294.83 / $4,466.35 / $7,427.52	Professional		$1,294.83	$4,466.35	$7,427.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,768.83 / $4,768.83 / $4,768.83	Professional		$4,768.83	$4,768.83	$4,768.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,388.85 / $5,494.16 / $5,494.16	Professional		$4,388.85	$5,494.16	$5,494.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,068.56 / $2,606.37 / $4,457.85	Professional		$1,068.56	$2,606.37	$4,457.85