Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.97 / $1,568.97 / $14,482.00	Facility		$770.97	$1,568.97	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.80 / $786.63 / $2,759.51	Professional		$724.80	$786.63	$2,759.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,467.00 / $11,448.40	Facility		$5,169.00	$7,467.00	$11,448.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $749.77 / $2,056.00 / $5,201.33	Professional		$749.77	$2,056.00	$5,201.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,970.75 / $2,302.98 / $3,714.62	Facility		$1,970.75	$2,302.98	$3,714.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,039.00 / $2,381.25 / $3,156.83	Professional		$1,039.00	$2,381.25	$3,156.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $767.05 / $1,016.98 / $1,805.50	Facility		$767.05	$1,016.98	$1,805.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $770.97 / $1,995.00 / $8,384.00	Facility		$770.97	$1,995.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $887.34 / $2,047.57 / $5,134.58	Professional		$887.34	$2,047.57	$5,134.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $627.97 / $1,604.05	Professional		$63.30	$627.97	$1,604.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $769.64 / $1,049.68 / $1,805.50	Facility		$769.64	$1,049.68	$1,805.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,494.35 / $2,307.51 / $3,092.38	Professional		$1,494.35	$2,307.51	$3,092.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,241.90 / $6,241.90 / $6,241.90	Facility		$6,241.90	$6,241.90	$6,241.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,061.16 / $3,722.85 / $6,219.71	Professional		$1,061.16	$3,722.85	$6,219.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,896.36 / $3,896.36 / $3,896.36	Professional		$3,896.36	$3,896.36	$3,896.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,711.75 / $4,502.64 / $4,502.64	Professional		$3,711.75	$4,502.64	$4,502.64
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 $887.34 / $2,047.57 / $3,674.81	Professional		$887.34	$2,047.57	$3,674.81