Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $952.02 / $2,078.98 / $14,482.00	Facility		$952.02	$2,078.98	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.11 / $952.02 / $3,640.49	Professional		$904.11	$952.02	$3,640.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $996.07 / $2,646.13 / $5,790.47	Professional		$996.07	$2,646.13	$5,790.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,677.23 / $3,128.55 / $5,046.24	Facility		$2,677.23	$3,128.55	$5,046.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,376.74 / $2,940.21 / $4,229.16	Professional		$1,376.74	$2,940.21	$4,229.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $952.02 / $1,394.50 / $1,986.58	Facility		$952.02	$1,394.50	$1,986.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,016.39 / $5,266.00 / $15,126.00	Facility		$1,016.39	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,163.05 / $2,458.83 / $6,538.80	Professional		$1,163.05	$2,458.83	$6,538.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $645.37 / $2,066.44	Professional		$70.00	$645.37	$2,066.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $952.02 / $1,394.50 / $1,986.58	Facility		$952.02	$1,394.50	$1,986.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,983.80 / $3,063.29 / $3,608.38	Professional		$1,983.80	$3,063.29	$3,608.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,425.03 / $4,917.64 / $7,589.04	Professional		$1,425.03	$4,917.64	$7,589.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,832.15 / $2,832.15 / $2,832.15	Professional		$2,832.15	$2,832.15	$2,832.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,175.75 / $5,743.27 / $5,743.27	Professional		$3,175.75	$5,743.27	$5,743.27
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 $1,163.05 / $3,149.75 / $5,202.21	Professional		$1,163.05	$3,149.75	$5,202.21