Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.21 / $1,641.10 / $14,482.00	Facility		$859.21	$1,641.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.19 / $859.21 / $3,061.32	Professional		$806.19	$859.21	$3,061.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $8,456.00	Facility		$2,740.00	$4,780.00	$8,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $785.42 / $2,152.35 / $4,516.67	Professional		$785.42	$2,152.35	$4,516.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,061.76 / $2,409.33 / $3,886.17	Facility		$2,061.76	$2,409.33	$3,886.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,086.77 / $2,491.56 / $3,300.00	Professional		$1,086.77	$2,491.56	$3,300.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $802.32 / $1,092.00 / $1,568.17	Facility		$802.32	$1,092.00	$1,568.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $859.21 / $4,240.00 / $11,598.00	Facility		$859.21	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $929.99 / $1,915.57 / $4,220.50	Professional		$929.99	$1,915.57	$4,220.50
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 $859.21 / $1,099.58 / $1,568.17	Facility		$859.21	$1,099.58	$1,568.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,563.25 / $2,413.90 / $2,843.43	Professional		$1,563.25	$2,413.90	$2,843.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,444.45 / $5,444.45 / $5,444.45	Facility		$5,444.45	$5,444.45	$5,444.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,110.32 / $3,900.15 / $8,255.64	Professional		$1,110.32	$3,900.15	$8,255.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,178.23 / $2,178.23 / $2,178.23	Professional		$2,178.23	$2,178.23	$2,178.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,296.09 / $3,857.44 / $3,857.44	Professional		$2,296.09	$3,857.44	$3,857.44
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $833.31 / $1,881.89 / $3,701.78	Professional		$833.31	$1,881.89	$3,701.78