Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $932.35 / $1,895.78 / $14,482.00	Facility		$932.35	$1,895.78	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $875.34 / $951.97 / $3,081.73	Professional		$875.34	$951.97	$3,081.73
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 $908.92 / $2,362.39 / $6,298.36	Professional		$908.92	$2,362.39	$6,298.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,378.96 / $2,780.00 / $4,484.04	Facility		$2,378.96	$2,780.00	$4,484.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,255.43 / $2,878.57 / $3,809.68	Professional		$1,255.43	$2,878.57	$3,809.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $926.83 / $1,227.45 / $1,850.10	Facility		$926.83	$1,227.45	$1,850.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $932.35 / $2,100.00 / $7,700.00	Facility		$932.35	$2,100.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,074.96 / $2,482.23 / $6,223.44	Professional		$1,074.96	$2,482.23	$6,223.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $620.64 / $1,934.86	Professional		$62.69	$620.64	$1,934.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $932.35 / $1,272.49 / $1,850.10	Facility		$932.35	$1,272.49	$1,850.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,806.35 / $2,789.28 / $3,748.16	Professional		$1,806.35	$2,789.28	$3,748.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,628.56 / $8,628.56 / $8,628.56	Facility		$8,628.56	$8,628.56	$8,628.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,282.78 / $4,513.14 / $6,888.32	Professional		$1,282.78	$4,513.14	$6,888.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,718.14 / $4,718.14 / $4,718.14	Professional		$4,718.14	$4,718.14	$4,718.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,094.84 / $5,443.07 / $5,443.07	Professional		$3,094.84	$5,443.07	$5,443.07
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 $1,076.83 / $2,760.66 / $4,444.04	Professional		$1,076.83	$2,760.66	$4,444.04