Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.95 / $1,638.16 / $14,482.00	Facility		$857.95	$1,638.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.42 / $857.95 / $2,665.50	Professional		$806.42	$857.95	$2,665.50
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 $785.54 / $2,080.28 / $4,557.06	Professional		$785.54	$2,080.28	$4,557.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,056.36 / $2,403.01 / $3,875.98	Facility		$2,056.36	$2,403.01	$3,875.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,084.82 / $2,487.41 / $3,291.41	Professional		$1,084.82	$2,487.41	$3,291.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $857.95 / $1,099.76 / $4,308.35	Facility		$857.95	$1,099.76	$4,308.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $857.95 / $4,308.35 / $14,978.00	Facility		$857.95	$4,308.35	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $929.61 / $1,918.07 / $4,227.53	Professional		$929.61	$1,918.07	$4,227.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $658.60 / $1,711.38	Professional		$63.30	$658.60	$1,711.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $857.95 / $1,099.76 / $4,308.35	Facility		$857.95	$1,099.76	$4,308.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,560.65 / $2,409.88 / $2,838.70	Professional		$1,560.65	$2,409.88	$2,838.70
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 $1,108.47 / $3,903.50 / $5,951.76	Professional		$1,108.47	$3,903.50	$5,951.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,175.48 / $2,175.48 / $2,175.48	Professional		$2,175.48	$2,175.48	$2,175.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,498.15 / $3,851.02 / $3,851.02	Professional		$2,498.15	$3,851.02	$3,851.02
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $928.87 / $2,292.00 / $3,907.25	Professional		$928.87	$2,292.00	$3,907.25