Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.58 / $1,658.95 / $14,482.00	Facility		$966.58	$1,658.95	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.58 / $966.58 / $2,780.40	Professional		$667.58	$966.58	$2,780.40
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 $779.17 / $2,034.42 / $3,571.03	Professional		$779.17	$2,034.42	$3,571.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,098.71 / $2,452.51 / $3,955.81	Facility		$2,098.71	$2,452.51	$3,955.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,142.83 / $2,405.84 / $2,777.04	Professional		$1,142.83	$2,405.84	$2,777.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $811.04 / $1,090.83 / $1,616.37	Facility		$811.04	$1,090.83	$1,616.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $884.77 / $4,103.00 / $8,783.00	Facility		$884.77	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $945.10 / $2,003.37 / $3,921.56	Professional		$945.10	$2,003.37	$3,921.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.62 / $460.12 / $1,555.81	Professional		$117.62	$460.12	$1,555.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $884.77 / $1,090.83 / $1,616.37	Facility		$884.77	$1,090.83	$1,616.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,682.20 / $2,326.09 / $2,938.93	Professional		$1,682.20	$2,326.09	$2,938.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,623.50 / $12,623.50 / $12,623.50	Facility		$12,623.50	$12,623.50	$12,623.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,178.57 / $3,927.35 / $6,172.08	Professional		$1,178.57	$3,927.35	$6,172.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,506.55 / $1,506.55 / $1,506.55	Professional		$1,506.55	$1,506.55	$1,506.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,488.63 / $2,535.88 / $2,535.88	Professional		$1,488.63	$2,535.88	$2,535.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $945.10 / $2,003.37 / $3,442.32	Professional		$945.10	$2,003.37	$3,442.32