Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.45 / $1,806.80 / $14,482.00	Facility		$888.45	$1,806.80	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $834.36 / $906.69 / $2,935.02	Professional		$834.36	$906.69	$2,935.02
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 $864.01 / $2,296.14 / $5,998.58	Professional		$864.01	$2,296.14	$5,998.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,268.12 / $2,650.48 / $4,275.12	Facility		$2,268.12	$2,650.48	$4,275.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.50 / $2,743.19 / $3,630.72	Professional		$1,196.50	$2,743.19	$3,630.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $883.32 / $1,169.95 / $1,805.50	Facility		$883.32	$1,169.95	$1,805.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $888.45 / $2,100.00 / $7,700.00	Facility		$888.45	$2,100.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,016.02 / $2,363.13 / $5,926.86	Professional		$1,016.02	$2,363.13	$5,926.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $737.50 / $1,905.22	Professional		$63.30	$737.50	$1,905.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $887.86 / $1,209.60 / $1,805.50	Facility		$887.86	$1,209.60	$1,805.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,721.20 / $2,657.80 / $3,569.53	Professional		$1,721.20	$2,657.80	$3,569.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,192.85 / $7,192.85 / $7,192.85	Facility		$7,192.85	$7,192.85	$7,192.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,222.45 / $4,296.60 / $6,562.40	Professional		$1,222.45	$4,296.60	$6,562.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,493.59 / $4,493.59 / $4,493.59	Professional		$4,493.59	$4,493.59	$4,493.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,191.13 / $5,187.07 / $5,187.07	Professional		$4,191.13	$5,187.07	$5,187.07
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 $997.74 / $2,628.47 / $4,234.79	Professional		$997.74	$2,628.47	$4,234.79