Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.01 / $2,002.97 / $14,482.00	Facility		$894.01	$2,002.97	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $894.01 / $914.72 / $3,359.18	Professional		$894.01	$914.72	$3,359.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $938.26 / $2,628.72 / $7,233.77	Professional		$938.26	$2,628.72	$7,233.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,517.73 / $2,942.17 / $4,745.60	Facility		$2,517.73	$2,942.17	$4,745.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,780.43 / $3,763.51 / $4,276.71	Professional		$1,780.43	$3,763.51	$4,276.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $894.01 / $1,313.56 / $1,913.95	Facility		$894.01	$1,313.56	$1,913.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $920.06 / $5,266.00 / $14,978.00	Facility		$920.06	$5,266.00	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,102.99 / $2,321.17 / $7,163.52	Professional		$1,102.99	$2,321.17	$7,163.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.55 / $664.87 / $2,132.38	Professional		$107.55	$664.87	$2,132.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $894.01 / $1,331.27 / $1,913.95	Facility		$894.01	$1,331.27	$1,913.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,072.19 / $3,188.00 / $4,192.33	Professional		$2,072.19	$3,188.00	$4,192.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,027.50 / $12,027.50 / $12,027.50	Facility		$12,027.50	$12,027.50	$12,027.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,890.75 / $4,642.35 / $7,492.71	Professional		$1,890.75	$4,642.35	$7,492.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,359.30 / $3,359.30 / $3,359.30	Professional		$3,359.30	$3,359.30	$3,359.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,238.98 / $5,635.48 / $5,635.48	Professional		$3,238.98	$5,635.48	$5,635.48
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,073.67 / $3,119.66 / $4,692.12	Professional		$1,073.67	$3,119.66	$4,692.12