Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $985.75 / $1,850.54 / $14,482.00	Facility		$985.75	$1,850.54	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.70 / $985.75 / $3,081.27	Professional		$802.70	$985.75	$3,081.27
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 $870.84 / $2,410.86 / $4,996.47	Professional		$870.84	$2,410.86	$4,996.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.71 / $2,739.98 / $4,419.50	Facility		$2,344.71	$2,739.98	$4,419.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,357.06 / $2,682.72 / $3,718.05	Professional		$1,357.06	$2,682.72	$3,718.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $904.71 / $1,112.43 / $1,801.74	Facility		$904.71	$1,112.43	$1,801.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $985.75 / $2,429.00 / $7,700.00	Facility		$985.75	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.46 / $2,206.69 / $4,320.87	Professional		$1,047.46	$2,206.69	$4,320.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $737.50 / $1,941.86	Professional		$85.00	$737.50	$1,941.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $916.70 / $1,112.43 / $1,801.74	Facility		$916.70	$1,112.43	$1,801.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,793.35 / $2,759.00 / $3,261.97	Professional		$1,793.35	$2,759.00	$3,261.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,516.39 / $7,516.39 / $7,516.39	Facility		$7,516.39	$7,516.39	$7,516.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,399.00 / $4,413.39 / $6,805.60	Professional		$1,399.00	$4,413.39	$6,805.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,252.61 / $2,252.61 / $2,252.61	Professional		$2,252.61	$2,252.61	$2,252.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,221.46 / $4,900.82 / $4,900.82	Professional		$2,221.46	$4,900.82	$4,900.82
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 $999.26 / $2,477.85 / $3,868.35	Professional		$999.26	$2,477.85	$3,868.35