Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.35 / $1,631.47 / $14,482.00	Facility		$802.35	$1,631.47	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.64 / $818.74 / $2,648.74	Professional		$753.64	$818.74	$2,648.74
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 $781.47 / $2,072.21 / $5,417.73	Professional		$781.47	$2,072.21	$5,417.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,049.15 / $2,394.59 / $3,862.39	Facility		$2,049.15	$2,394.59	$3,862.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,080.40 / $2,476.84 / $3,279.96	Professional		$1,080.40	$2,476.84	$3,279.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $797.61 / $1,056.83 / $1,805.50	Facility		$797.61	$1,056.83	$1,805.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $802.35 / $4,240.00 / $12,631.00	Facility		$802.35	$4,240.00	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $923.02 / $2,134.91 / $5,350.32	Professional		$923.02	$2,134.91	$5,350.32
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 $801.56 / $1,094.06 / $1,805.50	Facility		$801.56	$1,094.06	$1,805.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,554.15 / $2,399.85 / $3,222.30	Professional		$1,554.15	$2,399.85	$3,222.30
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 $1,103.76 / $3,881.65 / $9,010.07	Professional		$1,103.76	$3,881.65	$9,010.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,058.46 / $4,058.46 / $4,058.46	Professional		$4,058.46	$4,058.46	$4,058.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,782.30 / $4,683.43 / $4,683.43	Professional		$3,782.30	$4,683.43	$4,683.43
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $10,264.00 / $12,705.00	Facility		$4,240.00	$10,264.00	$12,705.00
United Facility/Professional Professional Modifier Low / Median / High Price $925.82 / $2,764.82 / $4,669.79	Professional		$925.82	$2,764.82	$4,669.79