Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.93 / $1,790.17 / $14,482.00	Facility		$938.93	$1,790.17	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.74 / $938.93 / $2,916.56	Professional		$880.74	$938.93	$2,916.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $859.69 / $2,283.53 / $4,955.95	Professional		$859.69	$2,283.53	$4,955.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,247.39 / $2,626.26 / $4,236.06	Facility		$2,247.39	$2,626.26	$4,236.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,185.49 / $2,718.82 / $3,594.93	Professional		$1,185.49	$2,718.82	$3,594.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $875.19 / $1,203.57 / $3,189.09	Facility		$875.19	$1,203.57	$3,189.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.19 / $3,189.09 / $8,783.00	Facility		$891.19	$3,189.09	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,015.11 / $2,097.78 / $4,620.08	Professional		$1,015.11	$2,097.78	$4,620.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $727.34 / $1,858.85	Professional		$85.00	$727.34	$1,858.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $795.63 / $1,203.57 / $3,189.09	Facility		$795.63	$1,203.57	$3,189.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,705.60 / $2,633.71 / $3,102.36	Professional		$1,705.60	$2,633.71	$3,102.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,302.50 / $14,302.50 / $14,302.50	Facility		$14,302.50	$14,302.50	$14,302.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,211.59 / $4,270.05 / $6,506.48	Professional		$1,211.59	$4,270.05	$6,506.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,381.05 / $2,381.05 / $2,381.05	Professional		$2,381.05	$2,381.05	$2,381.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,504.64 / $4,209.29 / $4,209.29	Professional		$2,504.64	$4,209.29	$4,209.29
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,754.00 / $8,384.00	Facility		$4,918.00	$6,754.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $991.46 / $2,610.79 / $4,052.25	Professional		$991.46	$2,610.79	$4,052.25