Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.10 / $1,824.57 / $14,482.00	Facility		$898.10	$1,824.57	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $842.86 / $917.63 / $2,972.37	Professional		$842.86	$917.63	$2,972.37
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 $876.63 / $2,275.61 / $6,066.14	Professional		$876.63	$2,275.61	$6,066.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.75 / $2,675.75 / $4,315.89	Facility		$2,289.75	$2,675.75	$4,315.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,208.27 / $2,771.11 / $3,663.65	Professional		$1,208.27	$2,771.11	$3,663.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $892.01 / $1,181.60 / $1,805.50	Facility		$892.01	$1,181.60	$1,805.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $898.10 / $2,100.00 / $7,700.00	Facility		$898.10	$2,100.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,022.85 / $2,393.44 / $6,005.25	Professional		$1,022.85	$2,393.44	$6,005.25
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 $898.10 / $1,227.28 / $1,805.50	Facility		$898.10	$1,227.28	$1,805.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,738.75 / $2,684.90 / $3,616.72	Professional		$1,738.75	$2,684.90	$3,616.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,270.20 / $7,270.20 / $7,270.20	Facility		$7,270.20	$7,270.20	$7,270.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,234.90 / $4,351.70 / $6,633.76	Professional		$1,234.90	$4,351.70	$6,633.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,544.17 / $4,544.17 / $4,544.17	Professional		$4,544.17	$4,544.17	$4,544.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,244.43 / $5,239.84 / $5,239.84	Professional		$4,244.43	$5,239.84	$5,239.84
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 $1,022.85 / $2,662.24 / $4,280.81	Professional		$1,022.85	$2,662.24	$4,280.81