Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.13 / $1,829.88 / $14,482.00	Facility		$975.13	$1,829.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.98 / $975.13 / $2,939.89	Professional		$793.98	$975.13	$2,939.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,082.00 / $15,579.70	Facility		$6,538.00	$10,082.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $861.29 / $2,300.35 / $4,840.01	Professional		$861.29	$2,300.35	$4,840.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,318.58 / $2,709.45 / $4,370.24	Facility		$2,318.58	$2,709.45	$4,370.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,341.91 / $2,652.83 / $3,676.53	Professional		$1,341.91	$2,652.83	$3,676.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $894.61 / $1,100.73 / $2,257.50	Facility		$894.61	$1,100.73	$2,257.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $975.13 / $3,360.50 / $11,598.00	Facility		$975.13	$3,360.50	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $999.40 / $2,183.83 / $4,274.30	Professional		$999.40	$2,183.83	$4,274.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $720.22 / $1,882.81	Professional		$85.00	$720.22	$1,882.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $907.44 / $1,100.73 / $2,257.50	Facility		$907.44	$1,100.73	$2,257.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,773.85 / $2,729.00 / $3,226.50	Professional		$1,773.85	$2,729.00	$3,226.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,434.14 / $7,434.14 / $7,434.14	Facility		$7,434.14	$7,434.14	$7,434.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,383.41 / $4,367.64 / $6,731.68	Professional		$1,383.41	$4,367.64	$6,731.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,229.08 / $2,229.08 / $2,229.08	Professional		$2,229.08	$2,229.08	$2,229.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,196.67 / $4,846.22 / $4,846.22	Professional		$2,196.67	$4,846.22	$4,846.22
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 $999.40 / $2,615.65 / $3,828.25	Professional		$999.40	$2,615.65	$3,828.25