Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.02 / $1,918.80 / $14,482.00	Facility		$857.02	$1,918.80	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.02 / $879.39 / $3,241.63	Professional		$857.02	$879.39	$3,241.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,338.00 / $6,049.00	Facility		$2,740.00	$4,338.00	$6,049.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $904.42 / $2,536.92 / $6,958.31	Professional		$904.42	$2,536.92	$6,958.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,411.40 / $2,817.91 / $4,545.18	Facility		$2,411.40	$2,817.91	$4,545.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,705.60 / $3,606.71 / $4,098.54	Professional		$1,705.60	$3,606.71	$4,098.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $852.80 / $1,091.58 / $1,876.07	Facility		$852.80	$1,091.58	$1,876.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $877.29 / $2,429.00 / $7,700.00	Facility		$877.29	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,075.16 / $2,491.35 / $6,890.93	Professional		$1,075.16	$2,491.35	$6,890.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $638.56 / $2,060.44	Professional		$85.00	$638.56	$2,060.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $852.80 / $1,091.58 / $1,876.07	Facility		$852.80	$1,091.58	$1,876.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,987.70 / $3,058.00 / $4,046.54	Professional		$1,987.70	$3,058.00	$4,046.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,536.80 / $11,536.80 / $11,536.80	Facility		$11,536.80	$11,536.80	$11,536.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,812.00 / $4,465.70 / $7,093.84	Professional		$1,812.00	$4,465.70	$7,093.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,220.74 / $3,220.74 / $3,220.74	Professional		$3,220.74	$3,220.74	$3,220.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,399.60 / $5,400.72 / $5,400.72	Professional		$3,399.60	$5,400.72	$5,400.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,043.77 / $2,491.35 / $4,513.57	Professional		$1,043.77	$2,491.35	$4,513.57