Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $931.72 / $1,889.75 / $14,482.00	Facility		$931.72	$1,889.75	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $875.37 / $952.33 / $3,094.01	Professional		$875.37	$952.33	$3,094.01
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 $907.85 / $2,360.77 / $6,281.63	Professional		$907.85	$2,360.77	$6,281.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,373.55 / $2,773.68 / $4,473.85	Facility		$2,373.55	$2,773.68	$4,473.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,251.44 / $2,869.37 / $3,798.22	Professional		$1,251.44	$2,869.37	$3,798.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $931.72 / $1,270.99 / $3,867.79	Facility		$931.72	$1,270.99	$3,867.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $931.72 / $2,429.00 / $7,700.00	Facility		$931.72	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,059.69 / $2,478.05 / $6,202.24	Professional		$1,059.69	$2,478.05	$6,202.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $769.84 / $1,945.50	Professional		$63.30	$769.84	$1,945.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $931.72 / $1,349.61 / $3,867.79	Facility		$931.72	$1,349.61	$3,867.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,799.85 / $2,779.25 / $3,735.39	Professional		$1,799.85	$2,779.25	$3,735.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,523.60 / $7,523.60 / $7,523.60	Facility		$7,523.60	$7,523.60	$7,523.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,278.68 / $4,505.55 / $7,413.45	Professional		$1,278.68	$4,505.55	$7,413.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,705.63 / $4,705.63 / $4,705.63	Professional		$4,705.63	$4,705.63	$4,705.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,418.14 / $5,425.65 / $5,425.65	Professional		$4,418.14	$5,425.65	$5,425.65
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 $1,051.79 / $2,757.05 / $4,496.99	Professional		$1,051.79	$2,757.05	$4,496.99