Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.38 / $1,953.88 / $14,482.00	Facility		$873.38	$1,953.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.38 / $977.06 / $3,690.66	Professional		$873.38	$977.06	$3,690.66
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 $917.69 / $2,126.83 / $5,381.63	Professional		$917.69	$2,126.83	$5,381.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,461.86 / $2,876.88 / $4,413.20	Facility		$2,461.86	$2,876.88	$4,413.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,423.80 / $3,664.73 / $4,164.46	Professional		$1,423.80	$3,664.73	$4,164.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $873.38 / $1,222.73 / $1,951.13	Facility		$873.38	$1,222.73	$1,951.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $873.38 / $1,357.31 / $13,250.00	Facility		$873.38	$1,357.31	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,003.29 / $1,846.14 / $7,086.24	Professional		$1,003.29	$1,846.14	$7,086.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $587.64 / $1,879.52	Professional		$83.50	$587.64	$1,879.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $873.38 / $1,196.80 / $1,951.13	Facility		$873.38	$1,196.80	$1,951.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,904.50 / $2,320.56 / $3,464.14	Professional		$1,904.50	$2,320.56	$3,464.14
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 $1,841.13 / $4,575.10 / $7,086.24	Professional		$1,841.13	$4,575.10	$7,086.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,284.11 / $3,284.11 / $3,284.11	Professional		$3,284.11	$3,284.11	$3,284.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,077.91 / $5,128.42 / $5,487.56	Professional		$3,077.91	$5,128.42	$5,487.56
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 $1,006.52 / $1,749.47 / $4,010.08	Professional		$1,006.52	$1,749.47	$4,010.08