Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.72 / $1,923.91 / $14,482.00	Facility		$857.72	$1,923.91	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.72 / $973.88 / $3,634.05	Professional		$857.72	$973.88	$3,634.05
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 $887.71 / $2,072.61 / $5,274.50	Professional		$887.71	$2,072.61	$5,274.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,424.01 / $2,832.65 / $4,345.35	Facility		$2,424.01	$2,832.65	$4,345.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,432.99 / $3,613.75 / $4,106.54	Professional		$1,432.99	$3,613.75	$4,106.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $857.72 / $1,253.27 / $2,099.09	Facility		$857.72	$1,253.27	$2,099.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $857.72 / $1,543.90 / $5,887.00	Facility		$857.72	$1,543.90	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,016.28 / $1,759.51 / $7,339.16	Professional		$1,016.28	$1,759.51	$7,339.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.61 / $637.37 / $2,043.71	Professional		$96.61	$637.37	$2,043.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $857.72 / $1,253.27 / $2,099.09	Facility		$857.72	$1,253.27	$2,099.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,979.25 / $2,411.64 / $3,600.10	Professional		$1,979.25	$2,411.64	$3,600.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,354.95 / $10,354.95 / $10,354.95	Facility		$10,354.95	$10,354.95	$10,354.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,815.54 / $4,588.35 / $7,339.16	Professional		$1,815.54	$4,588.35	$7,339.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,218.72 / $3,218.72 / $3,218.72	Professional		$3,218.72	$3,218.72	$3,218.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,212.17 / $5,230.28 / $5,411.30	Professional		$3,212.17	$5,230.28	$5,411.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,810.00 / $19,003.00	Facility		$2,203.00	$4,810.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $989.64 / $1,748.86 / $3,972.15	Professional		$989.64	$1,748.86	$3,972.15