Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.12 / $1,683.43 / $14,482.00	Facility		$897.12	$1,683.43	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.68 / $897.12 / $2,788.63	Professional		$729.68	$897.12	$2,788.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $11,015.00 / $15,810.00	Facility		$6,538.00	$11,015.00	$15,810.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.40 / $2,183.41 / $4,557.55	Professional		$789.40	$2,183.41	$4,557.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,134.75 / $2,494.63 / $4,023.75	Facility		$2,134.75	$2,494.63	$4,023.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,234.51 / $2,440.90 / $3,385.90	Professional		$1,234.51	$2,440.90	$3,385.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $823.01 / $1,011.98 / $1,631.70	Facility		$823.01	$1,011.98	$1,631.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $897.12 / $2,047.50 / $7,700.00	Facility		$897.12	$2,047.50	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $947.98 / $2,001.65 / $3,932.33	Professional		$947.98	$2,001.65	$3,932.33
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 $823.01 / $1,011.98 / $1,631.70	Facility		$823.01	$1,011.98	$1,631.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,630.20 / $2,508.00 / $2,965.21	Professional		$1,630.20	$2,508.00	$2,965.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,835.57 / $6,835.57 / $6,835.57	Facility		$6,835.57	$6,835.57	$6,835.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,272.89 / $4,003.30 / $6,188.48	Professional		$1,272.89	$4,003.30	$6,188.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,048.96 / $2,048.96 / $2,048.96	Professional		$2,048.96	$2,048.96	$2,048.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,020.86 / $4,459.06 / $4,459.06	Professional		$2,020.86	$4,459.06	$4,459.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $947.98 / $2,397.33 / $3,508.89	Professional		$947.98	$2,397.33	$3,508.89