Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.40 / $1,528.31 / $14,482.00	Facility		$800.40	$1,528.31	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.94 / $800.40 / $2,479.92	Professional		$750.94	$800.40	$2,479.92
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 $730.62 / $1,836.25 / $4,235.82	Professional		$730.62	$1,836.25	$4,235.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,921.19 / $2,245.06 / $3,621.20	Facility		$1,921.19	$2,245.06	$3,621.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,012.08 / $2,321.94 / $3,073.80	Professional		$1,012.08	$2,321.94	$3,073.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $747.18 / $1,022.87 / $1,492.94	Facility		$747.18	$1,022.87	$1,492.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $800.40 / $4,240.00 / $11,598.00	Facility		$800.40	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $849.11 / $1,783.06 / $3,929.87	Professional		$849.11	$1,783.06	$3,929.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $616.64 / $1,604.05	Professional		$63.30	$616.64	$1,604.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $800.40 / $1,063.48 / $1,503.91	Facility		$800.40	$1,063.48	$1,503.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,455.35 / $2,247.28 / $2,647.17	Professional		$1,455.35	$2,247.28	$2,647.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,159.60 / $8,159.60 / $8,159.60	Facility		$8,159.60	$8,159.60	$8,159.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,034.73 / $3,631.75 / $5,552.08	Professional		$1,034.73	$3,631.75	$5,552.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,028.18 / $2,028.18 / $2,028.18	Professional		$2,028.18	$2,028.18	$2,028.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,138.28 / $3,594.80 / $3,594.80	Professional		$2,138.28	$3,594.80	$3,594.80
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 $820.14 / $2,220.34 / $3,446.87	Professional		$820.14	$2,220.34	$3,446.87