Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.21 / $1,583.66 / $14,482.00	Facility		$923.21	$1,583.66	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.99 / $923.21 / $2,645.14	Professional		$635.99	$923.21	$2,645.14
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 $743.09 / $1,943.13 / $3,405.63	Professional		$743.09	$1,943.13	$3,405.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,004.09 / $2,341.94 / $3,777.46	Facility		$2,004.09	$2,341.94	$3,777.46
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 / $1,040.33 / $2,562.98	Facility		$844.62	$1,040.33	$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 $899.47 / $1,910.60 / $3,738.47	Professional		$899.47	$1,910.60	$3,738.47
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 $815.70 / $1,040.33 / $2,562.98	Facility		$815.70	$1,040.33	$2,562.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,604.85 / $2,219.14 / $2,803.80	Professional		$1,604.85	$2,219.14	$2,803.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,629.63 / $6,629.63 / $6,629.63	Facility		$6,629.63	$6,629.63	$6,629.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,125.36 / $3,747.80 / $5,892.48	Professional		$1,125.36	$3,747.80	$5,892.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,438.97 / $1,438.97 / $1,438.97	Professional		$1,438.97	$1,438.97	$1,438.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,517.08 / $2,421.39 / $2,421.39	Professional		$1,517.08	$2,421.39	$2,421.39
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 $901.75 / $2,208.46 / $3,284.95	Professional		$901.75	$2,208.46	$3,284.95