Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $971.72 / $2,176.02 / $14,482.00	Facility		$971.72	$2,176.02	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $971.72 / $995.67 / $3,637.06	Professional		$971.72	$995.67	$3,637.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,022.81 / $2,845.74 / $7,886.93	Professional		$1,022.81	$2,845.74	$7,886.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,733.10 / $3,193.84 / $5,151.55	Facility		$2,733.10	$3,193.84	$5,151.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,934.24 / $4,088.05 / $4,645.51	Professional		$1,934.24	$4,088.05	$4,645.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $971.72 / $1,431.93 / $2,126.78	Facility		$971.72	$1,431.93	$2,126.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,063.83 / $4,103.00 / $8,384.00	Facility		$1,063.83	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,218.30 / $2,784.92 / $7,805.44	Professional		$1,218.30	$2,784.92	$7,805.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $716.91 / $2,301.45	Professional		$107.55	$716.91	$2,301.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $971.72 / $1,431.93 / $2,126.78	Facility		$971.72	$1,431.93	$2,126.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,256.15 / $3,471.00 / $4,570.47	Professional		$2,256.15	$3,471.00	$4,570.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,157.33 / $9,157.33 / $9,157.33	Facility		$9,157.33	$9,157.33	$9,157.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,053.82 / $5,058.35 / $8,693.06	Professional		$2,053.82	$5,058.35	$8,693.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,652.74 / $3,652.74 / $3,652.74	Professional		$3,652.74	$3,652.74	$3,652.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,552.23 / $6,121.52 / $6,121.52	Professional		$3,552.23	$6,121.52	$6,121.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $7,611.00 / $9,134.00	Facility		$4,614.00	$7,611.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,216.79 / $3,106.17 / $5,594.43	Professional		$1,216.79	$3,106.17	$5,594.43