Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.74 / $1,691.84 / $14,482.00	Facility		$895.74	$1,691.84	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.52 / $895.74 / $2,751.88	Professional		$733.52	$895.74	$2,751.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $790.26 / $2,167.91 / $4,531.32	Professional		$790.26	$2,167.91	$4,531.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,139.26 / $2,499.89 / $4,032.24	Facility		$2,139.26	$2,499.89	$4,032.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,240.68 / $2,446.40 / $3,400.22	Professional		$1,240.68	$2,446.40	$3,400.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $827.12 / $1,009.80 / $3,087.88	Facility		$827.12	$1,009.80	$3,087.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $895.74 / $3,087.88 / $14,978.00	Facility		$895.74	$3,087.88	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $935.48 / $1,998.03 / $3,926.28	Professional		$935.48	$1,998.03	$3,926.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $694.84 / $1,743.61	Professional		$63.30	$694.84	$1,743.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $827.12 / $1,009.80 / $3,087.88	Facility		$827.12	$1,009.80	$3,087.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,638.65 / $2,521.00 / $2,980.58	Professional		$1,638.65	$2,521.00	$2,980.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,899.50 / $10,899.50 / $10,899.50	Facility		$10,899.50	$10,899.50	$10,899.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,275.77 / $3,996.05 / $6,195.76	Professional		$1,275.77	$3,996.05	$6,195.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,050.67 / $2,050.67 / $2,050.67	Professional		$2,050.67	$2,050.67	$2,050.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,131.32 / $4,469.10 / $4,469.10	Professional		$2,131.32	$4,469.10	$4,469.10
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $935.48 / $2,699.33 / $3,663.13	Professional		$935.48	$2,699.33	$3,663.13