Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.93 / $1,846.64 / $14,482.00	Facility		$908.93	$1,846.64	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.96 / $929.25 / $3,009.32	Professional		$852.96	$929.25	$3,009.32
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 $886.94 / $2,303.04 / $6,138.42	Professional		$886.94	$2,303.04	$6,138.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,316.78 / $2,707.34 / $4,366.84	Facility		$2,316.78	$2,707.34	$4,366.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,222.88 / $2,804.48 / $3,708.03	Professional		$1,222.88	$2,804.48	$3,708.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $902.80 / $1,195.88 / $1,801.25	Facility		$902.80	$1,195.88	$1,801.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $908.93 / $1,942.50 / $7,700.00	Facility		$908.93	$1,942.50	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.40 / $2,423.77 / $6,080.83	Professional		$1,047.40	$2,423.77	$6,080.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $754.25 / $1,934.86	Professional		$63.30	$754.25	$1,934.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $908.93 / $1,241.72 / $1,801.25	Facility		$908.93	$1,241.72	$1,801.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,759.55 / $2,717.02 / $3,662.25	Professional		$1,759.55	$2,717.02	$3,662.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,355.95 / $7,355.95 / $7,355.95	Facility		$7,355.95	$7,355.95	$7,355.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,249.77 / $4,406.85 / $6,713.28	Professional		$1,249.77	$4,406.85	$6,713.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,598.33 / $4,598.33 / $4,598.33	Professional		$4,598.33	$4,598.33	$4,598.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,297.18 / $5,302.95 / $5,302.95	Professional		$4,297.18	$5,302.95	$5,302.95
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 $1,047.65 / $3,138.91 / $4,332.39	Professional		$1,047.65	$3,138.91	$4,332.39