Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.06 / $1,930.09 / $14,482.00	Facility		$950.06	$1,930.09	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.37 / $970.99 / $3,145.83	Professional		$891.37	$970.99	$3,145.83
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 $927.25 / $2,407.26 / $6,416.99	Professional		$927.25	$2,407.26	$6,416.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,420.41 / $2,828.44 / $4,562.17	Facility		$2,420.41	$2,828.44	$4,562.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,278.16 / $2,930.33 / $3,874.10	Professional		$1,278.16	$2,930.33	$3,874.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $943.60 / $1,249.33 / $1,882.17	Facility		$943.60	$1,249.33	$1,882.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $950.06 / $2,058.00 / $7,700.00	Facility		$950.06	$2,058.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,100.00 / $2,534.40 / $6,357.03	Professional		$1,100.00	$2,534.40	$6,357.03
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 $950.06 / $1,298.15 / $1,882.17	Facility		$950.06	$1,298.15	$1,882.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,840.15 / $2,841.47 / $3,828.60	Professional		$1,840.15	$2,841.47	$3,828.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,784.64 / $8,784.64 / $8,784.64	Facility		$8,784.64	$8,784.64	$8,784.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,305.84 / $4,608.00 / $7,015.76	Professional		$1,305.84	$4,608.00	$7,015.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,807.01 / $4,807.01 / $4,807.01	Professional		$4,807.01	$4,807.01	$4,807.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,492.14 / $5,540.89 / $5,540.89	Professional		$4,492.14	$5,540.89	$5,540.89
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 $1,012.70 / $2,819.00 / $4,599.24	Professional		$1,012.70	$2,819.00	$4,599.24