Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.54 / $1,738.78 / $14,482.00	Facility		$927.54	$1,738.78	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.90 / $927.54 / $2,889.16	Professional		$753.90	$927.54	$2,889.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $8,456.00	Facility		$2,740.00	$4,780.00	$8,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $817.65 / $2,235.66 / $4,599.85	Professional		$817.65	$2,235.66	$4,599.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,204.14 / $2,575.71 / $4,154.53	Facility		$2,204.14	$2,575.71	$4,154.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.09 / $2,521.37 / $3,494.71	Professional		$1,275.09	$2,521.37	$3,494.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $850.07 / $1,046.83 / $2,025.30	Facility		$850.07	$1,046.83	$2,025.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $927.35 / $4,103.00 / $8,384.00	Facility		$927.35	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $982.15 / $2,073.58 / $4,065.66	Professional		$982.15	$2,073.58	$4,065.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $672.80 / $1,789.30	Professional		$85.00	$672.80	$1,789.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $863.65 / $1,046.83 / $2,025.30	Facility		$863.65	$1,046.83	$2,025.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,684.15 / $2,591.00 / $3,063.34	Professional		$1,684.15	$2,591.00	$3,063.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,592.40 / $7,592.40 / $7,592.40	Facility		$7,592.40	$7,592.40	$7,592.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,314.85 / $4,147.14 / $6,407.94	Professional		$1,314.85	$4,147.14	$6,407.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,118.46 / $2,118.46 / $2,118.46	Professional		$2,118.46	$2,118.46	$2,118.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,087.31 / $4,606.02 / $4,606.02	Professional		$2,087.31	$4,606.02	$4,606.02
United Facility/Professional Facility Modifier Low / Median / High Price $4,235.00 / $7,280.00 / $9,134.00	Facility		$4,235.00	$7,280.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $955.54 / $2,482.88 / $3,634.98	Professional		$955.54	$2,482.88	$3,634.98