Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $928.11 / $2,022.21 / $14,482.00	Facility		$928.11	$2,022.21	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.86 / $928.11 / $3,387.21	Professional		$701.86	$928.11	$3,387.21
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 $957.50 / $2,650.20 / $6,599.34	Professional		$957.50	$2,650.20	$6,599.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,538.46 / $2,966.39 / $4,784.67	Facility		$2,538.46	$2,966.39	$4,784.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,797.53 / $2,896.72 / $4,060.22	Professional		$1,797.53	$2,896.72	$4,060.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $928.11 / $1,150.41 / $3,956.10	Facility		$928.11	$1,150.41	$3,956.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $932.10 / $3,956.10 / $16,779.00	Facility		$932.10	$3,956.10	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,155.01 / $2,502.53 / $5,813.56	Professional		$1,155.01	$2,502.53	$5,813.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.91 / $842.32 / $2,160.85	Professional		$62.91	$842.32	$2,160.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $928.11 / $1,150.41 / $3,956.10	Facility		$928.11	$1,150.41	$3,956.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,016.95 / $3,103.00 / $3,668.68	Professional		$2,016.95	$3,103.00	$3,668.68
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 $1,892.67 / $4,812.55 / $7,428.48	Professional		$1,892.67	$4,812.55	$7,428.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,318.50 / $4,318.50 / $4,318.50	Professional		$4,318.50	$4,318.50	$4,318.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,249.58 / $6,429.13 / $6,429.13	Professional		$3,249.58	$6,429.13	$6,429.13
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $12,373.00 / $15,090.00	Facility		$7,984.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,151.46 / $2,638.00 / $4,218.20	Professional		$1,151.46	$2,638.00	$4,218.20