Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.19 / $1,915.67 / $14,482.00	Facility		$943.19	$1,915.67	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $884.81 / $964.33 / $3,123.56	Professional		$884.81	$964.33	$3,123.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,152.00	Facility		$5,060.00	$7,979.00	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $921.79 / $2,389.86 / $6,372.66	Professional		$921.79	$2,389.86	$6,372.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,403.29 / $2,808.43 / $4,529.89	Facility		$2,403.29	$2,808.43	$4,529.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,268.60 / $2,909.34 / $3,845.47	Professional		$1,268.60	$2,909.34	$3,845.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $936.55 / $1,240.08 / $1,867.83	Facility		$936.55	$1,240.08	$1,867.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $943.19 / $1,942.50 / $7,700.00	Facility		$943.19	$1,942.50	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,079.23 / $2,516.71 / $6,312.91	Professional		$1,079.23	$2,516.71	$6,312.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $613.81 / $1,964.20	Professional		$62.69	$613.81	$1,964.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $943.19 / $1,265.78 / $1,867.83	Facility		$943.19	$1,265.78	$1,867.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,826.50 / $2,820.40 / $3,802.02	Professional		$1,826.50	$2,820.40	$3,802.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,722.08 / $8,722.08 / $8,722.08	Facility		$8,722.08	$8,722.08	$8,722.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,296.49 / $4,575.85 / $6,966.16	Professional		$1,296.49	$4,575.85	$6,966.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,773.81 / $4,773.81 / $4,773.81	Professional		$4,773.81	$4,773.81	$4,773.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,862.73 / $5,501.23 / $5,501.23	Professional		$2,862.73	$5,501.23	$5,501.23
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 $1,079.23 / $2,609.96 / $4,495.72	Professional		$1,079.23	$2,609.96	$4,495.72