Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.13 / $1,705.45 / $14,482.00	Facility		$783.13	$1,705.45	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.94 / $783.13 / $2,912.43	Professional		$723.94	$783.13	$2,912.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $10,038.00	Facility		$2,740.00	$4,780.00	$10,038.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $798.85 / $2,178.34 / $4,622.55	Professional		$798.85	$2,178.34	$4,622.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,213.15 / $2,586.23 / $4,171.52	Facility		$2,213.15	$2,586.23	$4,171.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,129.40 / $2,419.62 / $3,484.69	Professional		$1,129.40	$2,419.62	$3,484.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $783.13 / $1,118.39 / $1,629.66	Facility		$783.13	$1,118.39	$1,629.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $833.78 / $4,103.00 / $8,384.00	Facility		$833.78	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $936.85 / $1,987.18 / $5,284.53	Professional		$936.85	$1,987.18	$5,284.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.27 / $528.84 / $1,686.60	Professional		$63.27	$528.84	$1,686.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $783.13 / $1,118.39 / $1,629.66	Facility		$783.13	$1,118.39	$1,629.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,622.40 / $2,505.23 / $2,951.02	Professional		$1,622.40	$2,505.23	$2,951.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,909.30 / $7,909.30 / $7,909.30	Facility		$7,909.30	$7,909.30	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,172.71 / $3,974.35 / $6,223.36	Professional		$1,172.71	$3,974.35	$6,223.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,331.46 / $2,331.46 / $2,331.46	Professional		$2,331.46	$2,331.46	$2,331.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,605.17 / $4,726.39 / $4,726.39	Professional		$2,605.17	$4,726.39	$4,726.39
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $888.26 / $1,832.97 / $3,834.20	Professional		$888.26	$1,832.97	$3,834.20