Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.93 / $1,818.56 / $14,482.00	Facility		$894.93	$1,818.56	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $840.42 / $912.75 / $2,955.88	Professional		$840.42	$912.75	$2,955.88
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 $870.84 / $2,267.56 / $6,040.26	Professional		$870.84	$2,267.56	$6,040.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,283.44 / $2,668.38 / $4,304.00	Facility		$2,283.44	$2,668.38	$4,304.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,204.29 / $2,761.18 / $3,655.06	Professional		$1,204.29	$2,761.18	$3,655.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $889.08 / $1,178.99 / $1,775.21	Facility		$889.08	$1,178.99	$1,775.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $894.93 / $1,805.50 / $7,700.00	Facility		$894.93	$1,805.50	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,011.93 / $2,379.44 / $5,966.74	Professional		$1,011.93	$2,379.44	$5,966.74
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 $894.93 / $1,219.18 / $1,775.21	Facility		$894.93	$1,219.18	$1,775.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,732.25 / $2,674.86 / $3,593.55	Professional		$1,732.25	$2,674.86	$3,593.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,239.54 / $7,239.54 / $7,239.54	Facility		$7,239.54	$7,239.54	$7,239.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.47 / $4,326.25 / $6,605.44	Professional		$1,230.47	$4,326.25	$6,605.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,524.78 / $4,524.78 / $4,524.78	Professional		$4,524.78	$4,524.78	$4,524.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,220.88 / $5,221.07 / $5,221.07	Professional		$4,220.88	$5,221.07	$5,221.07
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 $1,032.05 / $3,120.44 / $4,792.10	Professional		$1,032.05	$3,120.44	$4,792.10