Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.20 / $1,601.68 / $14,482.00	Facility		$839.20	$1,601.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.80 / $839.20 / $2,854.56	Professional		$786.80	$839.20	$2,854.56
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 $767.27 / $2,034.79 / $4,358.00	Professional		$767.27	$2,034.79	$4,358.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,011.30 / $2,350.36 / $3,791.05	Facility		$2,011.30	$2,350.36	$3,791.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,060.67 / $2,432.34 / $3,219.83	Professional		$1,060.67	$2,432.34	$3,219.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $839.20 / $1,114.81 / $2,616.56	Facility		$839.20	$1,114.81	$2,616.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $839.20 / $2,616.56 / $11,598.00	Facility		$839.20	$2,616.56	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $909.56 / $1,871.68 / $4,122.43	Professional		$909.56	$1,871.68	$4,122.43
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 $839.20 / $1,125.00 / $2,616.56	Facility		$839.20	$1,125.00	$2,616.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,526.20 / $2,356.69 / $2,776.04	Professional		$1,526.20	$2,356.69	$2,776.04
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 $1,083.93 / $3,813.20 / $5,818.24	Professional		$1,083.93	$3,813.20	$5,818.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,128.39 / $2,128.39 / $2,128.39	Professional		$2,128.39	$2,128.39	$2,128.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,856.90 / $3,765.77 / $3,765.77	Professional		$1,856.90	$3,765.77	$3,765.77
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 $867.81 / $2,304.79 / $3,615.77	Professional		$867.81	$2,304.79	$3,615.77