Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $752.07 / $1,685.23 / $14,482.00	Facility		$752.07	$1,685.23	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $752.07 / $768.50 / $2,835.90	Professional		$752.07	$768.50	$2,835.90
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 $787.88 / $2,114.82 / $6,105.80	Professional		$787.88	$2,114.82	$6,105.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,119.42 / $2,476.73 / $3,994.87	Facility		$2,119.42	$2,476.73	$3,994.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,497.99 / $3,164.83 / $3,596.40	Professional		$1,497.99	$3,164.83	$3,596.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $752.07 / $1,103.03 / $1,610.33	Facility		$752.07	$1,103.03	$1,610.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $823.89 / $1,804.94 / $7,700.00	Facility		$823.89	$1,804.94	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $939.19 / $2,162.92 / $6,026.42	Professional		$939.19	$2,162.92	$6,026.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $717.80 / $1,857.75	Professional		$85.00	$717.80	$1,857.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $752.07 / $1,103.03 / $1,610.33	Facility		$752.07	$1,103.03	$1,610.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,740.70 / $2,678.00 / $3,535.35	Professional		$1,740.70	$2,678.00	$3,535.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,101.60 / $10,101.60 / $10,101.60	Facility		$10,101.60	$10,101.60	$10,101.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,590.00 / $3,905.45 / $6,214.64	Professional		$1,590.00	$3,905.45	$6,214.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,823.31 / $2,823.31 / $2,823.31	Professional		$2,823.31	$2,823.31	$2,823.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,751.04 / $4,739.09 / $4,739.09	Professional		$2,751.04	$4,739.09	$4,739.09
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 $866.24 / $2,162.92 / $3,947.32	Professional		$866.24	$2,162.92	$3,947.32