Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.08 / $1,580.13 / $14,482.00	Facility		$777.08	$1,580.13	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.07 / $807.94 / $2,632.39	Professional		$730.07	$807.94	$2,632.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,216.00 / $11,863.00	Facility		$5,169.00	$8,216.00	$11,863.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $756.10 / $2,059.40 / $5,248.71	Professional		$756.10	$2,059.40	$5,248.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,984.27 / $2,318.77 / $3,740.10	Facility		$1,984.27	$2,318.77	$3,740.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.40 / $2,399.07 / $3,176.88	Professional		$1,046.40	$2,399.07	$3,176.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $772.51 / $1,023.88 / $1,543.18	Facility		$772.51	$1,023.88	$1,543.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $777.08 / $3,954.50 / $11,598.00	Facility		$777.08	$3,954.50	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $894.86 / $2,066.38 / $5,250.25	Professional		$894.86	$2,066.38	$5,250.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $639.42 / $1,680.06	Professional		$63.30	$639.42	$1,680.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $776.13 / $1,058.54 / $1,543.18	Facility		$776.13	$1,058.54	$1,543.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,504.75 / $2,323.57 / $3,162.03	Professional		$1,504.75	$2,323.57	$3,162.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,290.34 / $6,290.34 / $6,290.34	Facility		$6,290.34	$6,290.34	$6,290.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,069.09 / $3,757.05 / $9,677.00	Professional		$1,069.09	$3,757.05	$9,677.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,931.83 / $3,931.83 / $3,931.83	Professional		$3,931.83	$3,931.83	$3,931.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,758.97 / $4,536.32 / $4,536.32	Professional		$3,758.97	$4,536.32	$4,536.32
United Facility/Professional Facility Modifier Low / Median / High Price $4,017.00 / $9,158.00 / $12,062.00	Facility		$4,017.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $894.86 / $2,066.38 / $3,703.95	Professional		$894.86	$2,066.38	$3,703.95