Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.71 / $6,461.00 / $17,823.00	Facility		$499.71	$6,461.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.71 / $817.87 / $2,493.60	Professional		$499.71	$817.87	$2,493.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,293.00 / $10,261.00 / $16,653.39	Facility		$6,293.00	$10,261.00	$16,653.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $696.93 / $1,137.79 / $3,144.71	Professional		$696.93	$1,137.79	$3,144.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,537.55 / $2,965.33 / $4,548.89	Facility		$2,537.55	$2,965.33	$4,548.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,069.13 / $1,572.69 / $1,787.15	Professional		$1,069.13	$1,572.69	$1,787.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $499.71 / $835.41 / $1,749.23	Facility		$499.71	$835.41	$1,749.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $1,106.58 / $10,843.00	Facility		$508.00	$1,106.58	$10,843.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.17 / $1,766.16 / $6,431.20	Professional		$630.17	$1,766.16	$6,431.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $1,937.80	Professional		$50.00	$65.00	$1,937.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $499.71 / $835.41 / $1,749.23	Facility		$499.71	$835.41	$1,749.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,342.24 / $2,084.01 / $2,906.20	Professional		$1,342.24	$2,084.01	$2,906.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $989.47 / $11,977.15 / $11,977.15	Facility		$989.47	$11,977.15	$11,977.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,616.79 / $6,431.20 / $6,431.20	Professional		$3,616.79	$6,431.20	$6,431.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,541.89 / $3,541.89 / $3,541.89	Professional		$3,541.89	$3,541.89	$3,541.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,034.99 / $5,034.99 / $5,034.99	Professional		$5,034.99	$5,034.99	$5,034.99
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,953.00 / $12,062.00	Facility		$4,240.00	$9,953.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $593.37 / $1,779.44 / $4,030.43	Professional		$593.37	$1,779.44	$4,030.43