Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.06 / $1,583.66 / $14,482.00	Facility		$923.06	$1,583.66	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.79 / $923.06 / $2,644.15	Professional		$635.79	$923.06	$2,644.15
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 $742.38 / $1,942.81 / $3,402.40	Professional		$742.38	$1,942.81	$3,402.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,004.99 / $2,342.98 / $3,779.16	Facility		$2,004.99	$2,342.98	$3,779.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.97 / $2,297.21 / $2,651.57	Professional		$1,090.97	$2,297.21	$2,651.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $844.62 / $1,079.98 / $2,562.98	Facility		$844.62	$1,079.98	$2,562.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $844.62 / $2,562.98 / $11,598.00	Facility		$844.62	$2,562.98	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $898.86 / $1,908.12 / $3,734.87	Professional		$898.86	$1,908.12	$3,734.87
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 $844.62 / $1,079.98 / $2,562.98	Facility		$844.62	$1,079.98	$2,562.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,604.20 / $2,218.23 / $2,802.66	Professional		$1,604.20	$2,218.23	$2,802.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,627.88 / $6,627.88 / $6,627.88	Facility		$6,627.88	$6,627.88	$6,627.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,125.36 / $3,744.30 / $5,890.96	Professional		$1,125.36	$3,744.30	$5,890.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,438.30 / $1,438.30 / $1,438.30	Professional		$1,438.30	$1,438.30	$1,438.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,509.48 / $2,421.39 / $2,421.39	Professional		$1,509.48	$2,421.39	$2,421.39
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $898.86 / $2,206.35 / $3,281.88	Professional		$898.86	$2,206.35	$3,281.88