Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $999.32 / $1,907.89 / $14,482.00	Facility		$999.32	$1,907.89	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $949.18 / $1,001.31 / $3,284.70	Professional		$949.18	$1,001.31	$3,284.70
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 $912.51 / $2,531.44 / $5,472.36	Professional		$912.51	$2,531.44	$5,472.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,397.88 / $2,802.11 / $4,519.71	Facility		$2,397.88	$2,802.11	$4,519.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,263.44 / $2,898.50 / $3,836.88	Professional		$1,263.44	$2,898.50	$3,836.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $932.75 / $1,277.51 / $1,852.60	Facility		$932.75	$1,277.51	$1,852.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $999.32 / $4,240.00 / $11,598.00	Facility		$999.32	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,081.44 / $2,226.14 / $4,900.88	Professional		$1,081.44	$2,226.14	$4,900.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $769.02 / $1,983.36	Professional		$85.00	$769.02	$1,983.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $999.32 / $1,277.51 / $1,852.60	Facility		$999.32	$1,277.51	$1,852.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,816.75 / $2,805.34 / $3,304.53	Professional		$1,816.75	$2,805.34	$3,304.53
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 $1,291.67 / $4,534.80 / $8,596.00	Professional		$1,291.67	$4,534.80	$8,596.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,535.50 / $2,535.50 / $2,535.50	Professional		$2,535.50	$2,535.50	$2,535.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,699.92 / $4,487.46 / $4,487.46	Professional		$2,699.92	$4,487.46	$4,487.46
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 $1,081.44 / $2,635.22 / $4,298.53	Professional		$1,081.44	$2,635.22	$4,298.53