Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.61 / $1,643.94 / $14,482.00	Facility		$860.61	$1,643.94	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.32 / $860.61 / $2,644.08	Professional		$780.32	$860.61	$2,644.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $786.61 / $2,068.55 / $4,694.60	Professional		$786.61	$2,068.55	$4,694.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,064.46 / $2,412.48 / $3,891.26	Facility		$2,064.46	$2,412.48	$3,891.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,088.66 / $2,494.83 / $3,305.73	Professional		$1,088.66	$2,494.83	$3,305.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $803.70 / $1,006.91 / $1,605.81	Facility		$803.70	$1,006.91	$1,605.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $860.61 / $4,103.00 / $8,384.00	Facility		$860.61	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $888.79 / $1,918.90 / $4,228.07	Professional		$888.79	$1,918.90	$4,228.07
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 $803.70 / $1,006.91 / $1,605.81	Facility		$803.70	$1,006.91	$1,605.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,565.85 / $2,417.91 / $2,848.16	Professional		$1,565.85	$2,417.91	$2,848.16
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 $1,111.78 / $3,907.15 / $5,965.36	Professional		$1,111.78	$3,907.15	$5,965.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,181.46 / $2,181.46 / $2,181.46	Professional		$2,181.46	$2,181.46	$2,181.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,316.19 / $3,862.55 / $3,862.55	Professional		$2,316.19	$3,862.55	$3,862.55
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $855.94 / $2,388.86 / $3,820.18	Professional		$855.94	$2,388.86	$3,820.18