Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.55 / $1,913.49 / $14,482.00	Facility		$942.55	$1,913.49	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $884.42 / $961.58 / $3,116.64	Professional		$884.42	$961.58	$3,116.64
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 $919.79 / $2,435.83 / $6,370.47	Professional		$919.79	$2,435.83	$6,370.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,400.58 / $2,805.27 / $4,524.80	Facility		$2,400.58	$2,805.27	$4,524.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,267.16 / $2,906.35 / $3,841.17	Professional		$1,267.16	$2,906.35	$3,841.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $935.48 / $1,239.73 / $1,866.18	Facility		$935.48	$1,239.73	$1,866.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $942.55 / $4,240.00 / $12,631.00	Facility		$942.55	$4,240.00	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,090.49 / $2,512.76 / $6,296.90	Professional		$1,090.49	$2,512.76	$6,296.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $613.81 / $1,964.20	Professional		$62.69	$613.81	$1,964.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $942.55 / $1,287.71 / $1,866.18	Facility		$942.55	$1,287.71	$1,866.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,823.90 / $2,816.38 / $3,792.39	Professional		$1,823.90	$2,816.38	$3,792.39
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 $1,295.17 / $4,568.64 / $7,796.51	Professional		$1,295.17	$4,568.64	$7,796.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,772.18 / $4,772.18 / $4,772.18	Professional		$4,772.18	$4,772.18	$4,772.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,450.46 / $5,495.58 / $5,495.58	Professional		$4,450.46	$5,495.58	$5,495.58
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 $976.22 / $2,793.31 / $4,492.64	Professional		$976.22	$2,793.31	$4,492.64