Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $922.75 / $2,026.10 / $14,482.00	Facility		$922.75	$2,026.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $922.75 / $988.56 / $3,827.08	Professional		$922.75	$988.56	$3,827.08
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 $971.06 / $2,259.81 / $5,701.94	Professional		$971.06	$2,259.81	$5,701.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,586.21 / $3,022.20 / $4,636.13	Facility		$2,586.21	$3,022.20	$4,636.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,542.43 / $3,844.61 / $4,368.88	Professional		$1,542.43	$3,844.61	$4,368.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $922.75 / $1,357.53 / $2,214.23	Facility		$922.75	$1,357.53	$2,214.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $922.75 / $1,581.76 / $5,887.00	Facility		$922.75	$1,581.76	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,108.10 / $1,991.18 / $10,776.75	Professional		$1,108.10	$1,991.18	$10,776.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $608.17 / $1,950.73	Professional		$83.50	$608.17	$1,950.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $922.75 / $1,350.74 / $2,214.23	Facility		$922.75	$1,350.74	$2,214.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,938.30 / $2,361.73 / $3,525.62	Professional		$1,938.30	$2,361.73	$3,525.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,996.66 / $6,996.66 / $6,996.66	Facility		$6,996.66	$6,996.66	$6,996.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,931.50 / $4,816.45 / $10,776.75	Professional		$1,931.50	$4,816.45	$10,776.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,479.57 / $3,479.57 / $3,479.57	Professional		$3,479.57	$3,479.57	$3,479.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,300.16 / $5,641.00 / $5,756.93	Professional		$3,300.16	$5,641.00	$5,756.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,089.08 / $1,886.99 / $4,221.62	Professional		$1,089.08	$1,886.99	$4,221.62