Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.58 / $1,661.42 / $14,482.00	Facility		$742.58	$1,661.42	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.58 / $828.93 / $3,138.24	Professional		$742.58	$828.93	$3,138.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.89 / $1,812.63 / $4,573.52	Professional		$776.89	$1,812.63	$4,573.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,096.01 / $2,449.35 / $3,757.36	Facility		$2,096.01	$2,449.35	$3,757.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.54 / $3,117.97 / $3,543.15	Professional		$1,207.54	$3,117.97	$3,543.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $742.58 / $1,067.59 / $1,644.79	Facility		$742.58	$1,067.59	$1,644.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $742.58 / $1,170.17 / $13,250.00	Facility		$742.58	$1,170.17	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $875.95 / $1,568.55 / $6,025.28	Professional		$875.95	$1,568.55	$6,025.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $502.21 / $1,602.44	Professional		$61.84	$502.21	$1,602.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $742.58 / $1,067.59 / $1,644.79	Facility		$742.58	$1,067.59	$1,644.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,617.85 / $1,971.29 / $2,942.74	Professional		$1,617.85	$1,971.29	$2,942.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,348.38 / $6,348.38 / $17,524.30	Facility		$6,348.38	$6,348.38	$17,524.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,566.44 / $3,882.85 / $6,025.28	Professional		$1,566.44	$3,882.85	$6,025.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,790.98 / $2,790.98 / $2,790.98	Professional		$2,790.98	$2,790.98	$2,790.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,705.32 / $4,498.68 / $4,668.88	Professional		$1,705.32	$4,498.68	$4,668.88
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 $854.23 / $1,497.53 / $3,517.86	Professional		$854.23	$1,497.53	$3,517.86