Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $822.57 / $1,847.23 / $14,482.00	Facility		$822.57	$1,847.23	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $822.57 / $934.81 / $3,489.21	Professional		$822.57	$934.81	$3,489.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $863.30 / $1,748.09 / $4,867.06	Professional		$863.30	$1,748.09	$4,867.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,319.48 / $2,710.50 / $4,157.97	Facility		$2,319.48	$2,710.50	$4,157.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,371.74 / $3,467.23 / $3,940.04	Professional		$1,371.74	$3,467.23	$3,940.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $663.64 / $1,045.95 / $1,847.23	Facility		$663.64	$1,045.95	$1,847.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $817.28 / $1,296.19 / $3,995.00	Facility		$817.28	$1,296.19	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $899.30 / $1,722.69 / $6,816.64	Professional		$899.30	$1,722.69	$6,816.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.09 / $610.13 / $1,927.62	Professional		$89.09	$610.13	$1,927.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $663.64 / $1,045.95 / $1,847.23	Facility		$663.64	$1,045.95	$1,847.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,911.65 / $2,329.27 / $3,477.14	Professional		$1,911.65	$2,329.27	$3,477.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $982.04 / $982.04 / $7,759.08	Facility		$982.04	$982.04	$7,759.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,741.91 / $4,269.14 / $6,816.64	Professional		$1,741.91	$4,269.14	$6,816.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,086.18 / $3,086.18 / $3,086.18	Professional		$3,086.18	$3,086.18	$3,086.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $554.23 / $4,204.70 / $5,191.85	Professional		$554.23	$4,204.70	$5,191.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $890.54 / $1,567.80 / $3,741.91	Professional		$890.54	$1,567.80	$3,741.91