Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.49 / $1,692.00 / $14,482.00	Facility		$831.49	$1,692.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $781.28 / $859.07 / $2,773.91	Professional		$781.28	$859.07	$2,773.91
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 $809.26 / $2,170.79 / $5,612.84	Professional		$809.26	$2,170.79	$5,612.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,124.84 / $2,483.04 / $4,005.06	Facility		$2,124.84	$2,483.04	$4,005.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,120.49 / $2,567.98 / $3,401.65	Professional		$1,120.49	$2,567.98	$3,401.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $827.20 / $1,095.78 / $2,041.00	Facility		$827.20	$1,095.78	$2,041.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.49 / $3,150.00 / $11,598.00	Facility		$831.49	$3,150.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.18 / $2,211.11 / $5,545.12	Professional		$954.18	$2,211.11	$5,545.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $689.56 / $1,782.83	Professional		$63.30	$689.56	$1,782.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $830.36 / $1,132.96 / $2,041.00	Facility		$830.36	$1,132.96	$2,041.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,612.00 / $2,489.17 / $3,339.63	Professional		$1,612.00	$2,489.17	$3,339.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,731.48 / $6,731.48 / $6,731.48	Facility		$6,731.48	$6,731.48	$6,731.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,144.38 / $4,072.50 / $7,254.95	Professional		$1,144.38	$4,072.50	$7,254.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,204.64 / $4,204.64 / $4,204.64	Professional		$4,204.64	$4,204.64	$4,204.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,961.04 / $4,855.75 / $4,855.75	Professional		$3,961.04	$4,855.75	$4,855.75
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $954.18 / $2,458.40 / $4,012.56	Professional		$954.18	$2,458.40	$4,012.56