Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.81 / $1,599.80 / $14,482.00	Facility		$786.81	$1,599.80	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.16 / $791.25 / $2,595.01	Professional		$739.16	$791.25	$2,595.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $765.52 / $1,993.63 / $5,311.14	Professional		$765.52	$1,993.63	$5,311.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,008.60 / $2,347.19 / $3,785.96	Facility		$2,008.60	$2,347.19	$3,785.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,059.42 / $2,428.39 / $3,216.96	Professional		$1,059.42	$2,428.39	$3,216.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $786.29 / $1,071.73 / $2,929.12	Facility		$786.29	$1,071.73	$2,929.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $786.81 / $2,929.12 / $8,783.00	Facility		$786.81	$2,929.12	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $900.76 / $2,093.11 / $5,245.39	Professional		$900.76	$2,093.11	$5,245.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $667.78 / $1,711.38	Professional		$63.30	$667.78	$1,711.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $786.29 / $1,125.15 / $2,929.12	Facility		$786.29	$1,125.15	$2,929.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,524.25 / $2,353.67 / $3,159.09	Professional		$1,524.25	$2,353.67	$3,159.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $9,388.90 / $9,388.90	Facility		$9,388.90	$9,388.90	$9,388.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,082.17 / $3,805.65 / $9,677.00	Professional		$1,082.17	$3,805.65	$9,677.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,978.63 / $3,978.63 / $3,978.63	Professional		$3,978.63	$3,978.63	$3,978.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,321.13 / $4,591.85 / $4,591.85	Professional		$2,321.13	$4,591.85	$4,591.85
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $836.05 / $2,325.17 / $3,750.33	Professional		$836.05	$2,325.17	$3,750.33