Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.36 / $1,979.08 / $14,482.00	Facility		$975.36	$1,979.08	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $914.45 / $984.36 / $3,237.57	Professional		$914.45	$984.36	$3,237.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,838.00 / $18,458.00	Facility		$7,084.00	$11,838.00	$18,458.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.57 / $2,471.36 / $6,594.24	Professional		$954.57	$2,471.36	$6,594.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,481.67 / $2,900.04 / $4,677.67	Facility		$2,481.67	$2,900.04	$4,677.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,310.58 / $3,006.33 / $3,970.02	Professional		$1,310.58	$3,006.33	$3,970.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $967.55 / $1,281.46 / $1,928.51	Facility		$967.55	$1,281.46	$1,928.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $975.36 / $6,154.00 / $16,779.00	Facility		$975.36	$6,154.00	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,132.08 / $2,607.17 / $6,544.38	Professional		$1,132.08	$2,607.17	$6,544.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $634.17 / $2,000.23	Professional		$62.69	$634.17	$2,000.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $967.55 / $1,281.46 / $1,928.51	Facility		$967.55	$1,281.46	$1,928.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,886.30 / $2,912.74 / $3,941.45	Professional		$1,886.30	$2,912.74	$3,941.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,486.75 / $13,486.75 / $13,486.75	Facility		$13,486.75	$13,486.75	$13,486.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,339.71 / $4,740.30 / $15,405.68	Professional		$1,339.71	$4,740.30	$15,405.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,939.82 / $4,939.82 / $4,939.82	Professional		$4,939.82	$4,939.82	$4,939.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,623.13 / $5,684.60 / $5,684.60	Professional		$4,623.13	$5,684.60	$5,684.60
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,078.20 / $3,157.37 / $4,731.29	Professional		$1,078.20	$3,157.37	$4,731.29