Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $940.39 / $2,106.46 / $14,482.00	Facility		$940.39	$2,106.46	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.39 / $1,105.01 / $3,978.89	Professional		$940.39	$1,105.01	$3,978.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,800.00 / $19,822.18	Facility		$6,538.00	$10,800.00	$19,822.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.59 / $1,995.93 / $5,563.92	Professional		$977.59	$1,995.93	$5,563.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,648.39 / $3,094.86 / $4,747.59	Facility		$2,648.39	$3,094.86	$4,747.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,564.46 / $3,959.04 / $4,498.91	Professional		$1,564.46	$3,959.04	$4,498.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $940.39 / $1,316.55 / $2,106.46	Facility		$940.39	$1,316.55	$2,106.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $940.39 / $1,669.92 / $5,887.00	Facility		$940.39	$1,669.92	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $969.65 / $1,951.66 / $9,251.14	Professional		$969.65	$1,951.66	$9,251.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $690.66 / $2,224.17	Professional		$112.28	$690.66	$2,224.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $940.39 / $1,235.33 / $2,106.46	Facility		$940.39	$1,235.33	$2,106.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,180.10 / $2,656.37 / $3,965.43	Professional		$2,180.10	$2,656.37	$3,965.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,253.43 / $20,253.43 / $20,253.43	Facility		$20,253.43	$20,253.43	$20,253.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,989.00 / $4,886.70 / $9,251.14	Professional		$1,989.00	$4,886.70	$9,251.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,534.05 / $3,534.05 / $3,534.05	Professional		$3,534.05	$3,534.05	$3,534.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,827.56 / $4,819.39 / $5,928.29	Professional		$2,827.56	$4,819.39	$5,928.29
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 $975.86 / $1,794.59 / $4,283.18	Professional		$975.86	$1,794.59	$4,283.18