Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.72 / $1,679.76 / $14,482.00	Facility		$879.72	$1,679.76	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.33 / $879.72 / $2,727.03	Professional		$825.33	$879.72	$2,727.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $804.02 / $2,134.86 / $4,799.70	Professional		$804.02	$2,134.86	$4,799.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,110.42 / $2,466.19 / $3,977.89	Facility		$2,110.42	$2,466.19	$3,977.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,112.38 / $2,551.07 / $3,378.74	Professional		$1,112.38	$2,551.07	$3,378.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $821.22 / $1,125.63 / $1,664.20	Facility		$821.22	$1,125.63	$1,664.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $879.72 / $4,240.00 / $11,598.00	Facility		$879.72	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $952.08 / $1,961.14 / $4,321.45	Professional		$952.08	$1,961.14	$4,321.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $689.56 / $1,782.83	Professional		$63.30	$689.56	$1,782.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $821.22 / $1,125.63 / $1,664.20	Facility		$821.22	$1,125.63	$1,664.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,599.65 / $2,470.11 / $2,909.64	Professional		$1,599.65	$2,470.11	$2,909.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $9,388.90 / $9,388.90	Facility		$9,388.90	$9,388.90	$9,388.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,136.83 / $3,992.80 / $7,737.00	Professional		$1,136.83	$3,992.80	$7,737.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,229.09 / $2,229.09 / $2,229.09	Professional		$2,229.09	$2,229.09	$2,229.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,368.04 / $3,949.54 / $3,949.54	Professional		$2,368.04	$3,949.54	$3,949.54
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 $927.04 / $2,369.19 / $3,790.33	Professional		$927.04	$2,369.19	$3,790.33