Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.60 / $1,810.19 / $14,482.00	Facility		$806.60	$1,810.19	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.09 / $820.96 / $3,022.74	Professional		$604.09	$820.96	$3,022.74
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 $843.54 / $2,343.12 / $6,184.96	Professional		$843.54	$2,343.12	$6,184.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,278.03 / $2,662.06 / $4,293.81	Facility		$2,278.03	$2,662.06	$4,293.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,620.00 / $3,399.70 / $3,863.30	Professional		$1,620.00	$3,399.70	$3,863.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $806.60 / $1,180.96 / $2,119.50	Facility		$806.60	$1,180.96	$2,119.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $884.98 / $2,429.00 / $7,700.00	Facility		$884.98	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,001.47 / $2,246.85 / $6,438.96	Professional		$1,001.47	$2,246.85	$6,438.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.85 / $601.96 / $1,923.38	Professional		$89.85	$601.96	$1,923.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $806.60 / $1,222.21 / $2,119.50	Facility		$806.60	$1,222.21	$2,119.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,866.80 / $2,872.00 / $3,767.10	Professional		$1,866.80	$2,872.00	$3,767.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,926.86 / $11,926.86 / $11,926.86	Facility		$11,926.86	$11,926.86	$11,926.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,708.00 / $4,172.80 / $7,993.06	Professional		$1,708.00	$4,172.80	$7,993.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,029.32 / $3,029.32 / $3,029.32	Professional		$3,029.32	$3,029.32	$3,029.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,515.78 / $5,090.76 / $5,090.76	Professional		$2,515.78	$5,090.76	$5,090.76
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 $1,001.47 / $2,856.28 / $4,083.91	Professional		$1,001.47	$2,856.28	$4,083.91