Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.90 / $1,536.64 / $14,482.00	Facility		$895.90	$1,536.64	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.25 / $895.90 / $2,560.66	Professional		$616.25	$895.90	$2,560.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,838.00 / $18,458.00	Facility		$7,084.00	$11,838.00	$18,458.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $719.73 / $1,885.64 / $3,298.56	Professional		$719.73	$1,885.64	$3,298.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,945.52 / $2,273.48 / $3,667.06	Facility		$1,945.52	$2,273.48	$3,667.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.58 / $2,228.84 / $2,573.90	Professional		$1,058.58	$2,228.84	$2,573.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $819.54 / $1,048.20 / $2,482.61	Facility		$819.54	$1,048.20	$2,482.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $819.54 / $2,482.61 / $16,779.00	Facility		$819.54	$2,482.61	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $871.74 / $1,849.32 / $3,620.06	Professional		$871.74	$1,849.32	$3,620.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.62 / $453.28 / $1,487.88	Professional		$117.62	$453.28	$1,487.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $819.54 / $1,048.20 / $2,482.61	Facility		$819.54	$1,048.20	$2,482.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,556.75 / $2,152.63 / $2,719.76	Professional		$1,556.75	$2,152.63	$2,719.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,223.75 / $16,223.75 / $16,223.75	Facility		$16,223.75	$16,223.75	$16,223.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,091.85 / $3,632.25 / $5,715.28	Professional		$1,091.85	$3,632.25	$5,715.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,396.44 / $1,396.44 / $1,396.44	Professional		$1,396.44	$1,396.44	$1,396.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,467.29 / $2,349.31 / $2,349.31	Professional		$1,467.29	$2,349.31	$2,349.31
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $12,373.00 / $15,903.00	Facility		$7,984.00	$12,373.00	$15,903.00
United Facility/Professional Professional Modifier Low / Median / High Price $870.48 / $1,849.32 / $3,163.99	Professional		$870.48	$1,849.32	$3,163.99