Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.91 / $1,880.80 / $14,482.00	Facility		$859.91	$1,880.80	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.23 / $859.91 / $3,276.16	Professional		$814.23	$859.91	$3,276.16
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 $898.55 / $2,390.27 / $5,230.56	Professional		$898.55	$2,390.27	$5,230.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,416.80 / $2,824.23 / $4,555.38	Facility		$2,416.80	$2,824.23	$4,555.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,245.51 / $2,658.00 / $3,819.70	Professional		$1,245.51	$2,658.00	$3,819.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $859.91 / $1,257.97 / $2,669.00	Facility		$859.91	$1,257.97	$2,669.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $919.50 / $5,266.00 / $15,126.00	Facility		$919.50	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,054.24 / $2,226.40 / $5,920.71	Professional		$1,054.24	$2,226.40	$5,920.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $563.66 / $1,882.18	Professional		$70.00	$563.66	$1,882.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $859.91 / $1,265.08 / $2,669.00	Facility		$859.91	$1,265.08	$2,669.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,795.30 / $2,772.22 / $3,265.51	Professional		$1,795.30	$2,772.22	$3,265.51
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 $1,288.24 / $4,452.80 / $10,284.73	Professional		$1,288.24	$4,452.80	$10,284.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,558.29 / $2,558.29 / $2,558.29	Professional		$2,558.29	$2,558.29	$2,558.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,873.02 / $5,192.01 / $5,192.01	Professional		$2,873.02	$5,192.01	$5,192.01
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,034.67 / $2,728.81 / $4,351.50	Professional		$1,034.67	$2,728.81	$4,351.50