Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.08 / $1,728.61 / $14,482.00	Facility		$850.08	$1,728.61	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.55 / $875.59 / $2,836.81	Professional		$798.55	$875.59	$2,836.81
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 $827.07 / $2,153.92 / $5,739.46	Professional		$827.07	$2,153.92	$5,739.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,171.69 / $2,537.80 / $4,093.39	Facility		$2,171.69	$2,537.80	$4,093.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,144.72 / $2,625.03 / $3,474.67	Professional		$1,144.72	$2,625.03	$3,474.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $845.10 / $1,119.58 / $1,805.50	Facility		$845.10	$1,119.58	$1,805.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $850.08 / $2,100.00 / $7,700.00	Facility		$850.08	$2,100.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $969.17 / $2,259.98 / $5,677.75	Professional		$969.17	$2,259.98	$5,677.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $711.75 / $1,819.62	Professional		$63.30	$711.75	$1,819.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $848.78 / $1,157.90 / $1,805.50	Facility		$848.78	$1,157.90	$1,805.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,645.80 / $2,541.37 / $3,419.51	Professional		$1,645.80	$2,541.37	$3,419.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,881.70 / $6,881.70 / $6,881.70	Facility		$6,881.70	$6,881.70	$6,881.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,169.80 / $4,109.05 / $6,353.45	Professional		$1,169.80	$4,109.05	$6,353.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,299.47 / $4,299.47 / $4,299.47	Professional		$4,299.47	$4,299.47	$4,299.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,050.85 / $4,963.66 / $4,963.66	Professional		$4,050.85	$4,963.66	$4,963.66
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 $935.64 / $2,512.48 / $4,051.88	Professional		$935.64	$2,512.48	$4,051.88