Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.54 / $2,021.02 / $14,482.00	Facility		$923.54	$2,021.02	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.69 / $923.54 / $3,526.40	Professional		$873.69	$923.54	$3,526.40
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 $968.66 / $2,566.23 / $5,615.64	Professional		$968.66	$2,566.23	$5,615.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,593.42 / $3,030.62 / $4,888.28	Facility		$2,593.42	$3,030.62	$4,888.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,338.36 / $2,854.50 / $4,100.31	Professional		$1,338.36	$2,854.50	$4,100.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $923.54 / $1,355.94 / $2,262.37	Facility		$923.54	$1,355.94	$2,262.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $988.05 / $5,266.00 / $15,126.00	Facility		$988.05	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,134.58 / $2,394.19 / $6,366.94	Professional		$1,134.58	$2,394.19	$6,366.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $635.44 / $1,992.63	Professional		$70.00	$635.44	$1,992.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $923.54 / $1,357.21 / $2,262.37	Facility		$923.54	$1,357.21	$2,262.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,930.50 / $2,980.99 / $3,511.43	Professional		$1,930.50	$2,980.99	$3,511.43
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 $1,383.49 / $4,788.39 / $8,240.67	Professional		$1,383.49	$4,788.39	$8,240.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,746.64 / $2,746.64 / $2,746.64	Professional		$2,746.64	$2,746.64	$2,746.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,087.22 / $5,575.88 / $5,575.88	Professional		$3,087.22	$5,575.88	$5,575.88
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 $1,134.58 / $3,026.49 / $5,354.09	Professional		$1,134.58	$3,026.49	$5,354.09