Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.62 / $1,906.90 / $14,482.00	Facility		$851.62	$1,906.90	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.62 / $871.34 / $3,199.59	Professional		$851.62	$871.34	$3,199.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,955.00 / $13,152.00	Facility		$5,060.00	$7,955.00	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $885.96 / $2,504.77 / $6,915.69	Professional		$885.96	$2,504.77	$6,915.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,397.88 / $2,802.11 / $4,519.71	Facility		$2,397.88	$2,802.11	$4,519.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,695.02 / $3,584.65 / $4,073.46	Professional		$1,695.02	$3,584.65	$4,073.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $851.62 / $1,240.33 / $2,166.60	Facility		$851.62	$1,240.33	$2,166.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $932.26 / $2,415.00 / $7,700.00	Facility		$932.26	$2,415.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,065.18 / $2,405.64 / $6,827.13	Professional		$1,065.18	$2,405.64	$6,827.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.85 / $638.56 / $2,050.48	Professional		$89.85	$638.56	$2,050.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $851.62 / $1,240.33 / $2,166.60	Facility		$851.62	$1,240.33	$2,166.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,974.05 / $3,037.00 / $3,994.88	Professional		$1,974.05	$3,037.00	$3,994.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,462.50 / $11,462.50 / $11,462.50	Facility		$11,462.50	$11,462.50	$11,462.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,800.90 / $4,424.35 / $7,562.06	Professional		$1,800.90	$4,424.35	$7,562.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,201.42 / $3,201.42 / $3,201.42	Professional		$3,201.42	$3,201.42	$3,201.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,112.90 / $5,367.69 / $5,367.69	Professional		$3,112.90	$5,367.69	$5,367.69
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 $1,061.83 / $2,716.42 / $4,471.78	Professional		$1,061.83	$2,716.42	$4,471.78