Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.93 / $1,957.07 / $14,482.00	Facility		$871.93	$1,957.07	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $871.93 / $890.96 / $3,271.82	Professional		$871.93	$890.96	$3,271.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $25,162.36	Facility		$11,499.00	$16,401.00	$25,162.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $909.89 / $2,560.37 / $7,092.23	Professional		$909.89	$2,560.37	$7,092.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,463.66 / $2,878.98 / $4,643.70	Facility		$2,463.66	$2,878.98	$4,643.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,782.00 / $3,676.15 / $4,177.43	Professional		$1,782.00	$3,676.15	$4,177.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $871.93 / $1,273.84 / $2,551.25	Facility		$871.93	$1,273.84	$2,551.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $956.79 / $2,551.25 / $7,700.00	Facility		$956.79	$2,551.25	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,084.36 / $2,435.60 / $6,961.68	Professional		$1,084.36	$2,435.60	$6,961.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.85 / $637.37 / $2,043.71	Professional		$89.85	$637.37	$2,043.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $871.93 / $1,273.84 / $2,551.25	Facility		$871.93	$1,273.84	$2,551.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,017.60 / $3,104.00 / $4,078.71	Professional		$2,017.60	$3,104.00	$4,078.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,068.80 / $14,068.80 / $14,068.80	Facility		$14,068.80	$14,068.80	$14,068.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,846.87 / $4,511.55 / $9,186.74	Professional		$1,846.87	$4,511.55	$9,186.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,272.02 / $3,272.02 / $3,272.02	Professional		$3,272.02	$3,272.02	$3,272.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,194.81 / $5,504.71 / $5,504.71	Professional		$3,194.81	$5,504.71	$5,504.71
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 $1,040.46 / $2,844.78 / $4,414.60	Professional		$1,040.46	$2,844.78	$4,414.60