Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.02 / $1,877.04 / $14,482.00	Facility		$861.02	$1,877.04	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.69 / $861.02 / $3,205.38	Professional		$795.69	$861.02	$3,205.38
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 $881.51 / $2,394.04 / $5,102.81	Professional		$881.51	$2,394.04	$5,102.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,427.62 / $2,836.86 / $4,575.76	Facility		$2,427.62	$2,836.86	$4,575.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.02 / $2,659.22 / $3,828.29	Professional		$1,243.02	$2,659.22	$3,828.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $861.02 / $1,234.10 / $2,041.00	Facility		$861.02	$1,234.10	$2,041.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $917.66 / $5,266.00 / $15,126.00	Facility		$917.66	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,035.41 / $2,193.15 / $5,832.29	Professional		$1,035.41	$2,193.15	$5,832.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $584.91 / $1,914.41	Professional		$70.00	$584.91	$1,914.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $861.02 / $1,272.59 / $2,041.00	Facility		$861.02	$1,272.59	$2,041.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,788.15 / $2,761.18 / $3,252.51	Professional		$1,788.15	$2,761.18	$3,252.51
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 $1,288.83 / $4,386.30 / $7,141.02	Professional		$1,288.83	$4,386.30	$7,141.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,562.35 / $2,562.35 / $2,562.35	Professional		$2,562.35	$2,562.35	$2,562.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,867.28 / $5,194.45 / $5,194.45	Professional		$2,867.28	$5,194.45	$5,194.45
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 $1,035.41 / $2,392.53 / $4,230.31	Professional		$1,035.41	$2,392.53	$4,230.31