Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.65 / $1,721.59 / $14,482.00	Facility		$847.65	$1,721.59	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.84 / $864.26 / $2,800.03	Professional		$795.84	$864.26	$2,800.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $826.27 / $2,191.57 / $5,725.59	Professional		$826.27	$2,191.57	$5,725.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.89 / $2,525.17 / $4,073.00	Facility		$2,160.89	$2,525.17	$4,073.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,140.07 / $2,614.69 / $3,458.92	Professional		$1,140.07	$2,614.69	$3,458.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $841.67 / $1,115.33 / $1,805.50	Facility		$841.67	$1,115.33	$1,805.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $847.65 / $4,240.00 / $12,631.00	Facility		$847.65	$4,240.00	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $951.85 / $2,257.83 / $5,657.30	Professional		$951.85	$2,257.83	$5,657.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $704.34 / $1,789.30	Professional		$63.30	$704.34	$1,789.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $846.69 / $1,156.78 / $1,805.50	Facility		$846.69	$1,156.78	$1,805.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,639.30 / $2,531.33 / $3,407.18	Professional		$1,639.30	$2,531.33	$3,407.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,302.50 / $14,302.50 / $14,302.50	Facility		$14,302.50	$14,302.50	$14,302.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,165.19 / $4,105.14 / $7,796.51	Professional		$1,165.19	$4,105.14	$7,796.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,289.08 / $4,289.08 / $4,289.08	Professional		$4,289.08	$4,289.08	$4,289.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,998.36 / $4,944.06 / $4,944.06	Professional		$3,998.36	$4,944.06	$4,944.06
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $951.85 / $2,479.28 / $4,040.30	Professional		$951.85	$2,479.28	$4,040.30