Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.27 / $1,672.22 / $14,482.00	Facility		$891.27	$1,672.22	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.76 / $891.27 / $2,771.40	Professional		$724.76	$891.27	$2,771.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $783.81 / $2,168.44 / $4,527.02	Professional		$783.81	$2,168.44	$4,527.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,121.23 / $2,478.83 / $3,998.27	Facility		$2,121.23	$2,478.83	$3,998.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,226.29 / $2,424.66 / $3,361.56	Professional		$1,226.29	$2,424.66	$3,361.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $817.53 / $1,005.42 / $2,025.30	Facility		$817.53	$1,005.42	$2,025.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.27 / $4,240.00 / $12,622.22	Facility		$891.27	$4,240.00	$12,622.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $942.12 / $1,988.95 / $3,906.72	Professional		$942.12	$1,988.95	$3,906.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $640.10 / $1,712.75	Professional		$85.00	$640.10	$1,712.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $817.53 / $1,005.42 / $2,025.30	Facility		$817.53	$1,005.42	$2,025.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,619.15 / $2,491.00 / $2,945.11	Professional		$1,619.15	$2,491.00	$2,945.11
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 $1,264.43 / $4,615.50 / $7,983.09	Professional		$1,264.43	$4,615.50	$7,983.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,035.22 / $2,035.22 / $2,035.22	Professional		$2,035.22	$2,035.22	$2,035.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,130.28 / $4,429.45 / $4,563.31	Professional		$2,130.28	$4,429.45	$4,563.31
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $863.62 / $1,834.61 / $3,486.63	Professional		$863.62	$1,834.61	$3,486.63