Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.49 / $754.49 / $14,482.00	Facility		$754.49	$754.49	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.49 / $834.67 / $1,318.17	Professional		$754.49	$834.67	$1,318.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,743.77 / $21,606.00	Facility		$8,139.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,227.01 / $2,785.82 / $7,350.75	Professional		$1,227.01	$2,785.82	$7,350.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,657.16 / $1,936.52 / $2,970.67	Facility		$1,657.16	$1,936.52	$2,970.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.25 / $2,422.79 / $2,753.18	Professional		$698.25	$2,422.79	$2,753.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $702.23 / $1,124.19 / $1,394.00	Facility		$702.23	$1,124.19	$1,394.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $749.04 / $1,294.75 / $11,598.00	Facility		$749.04	$1,294.75	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $761.51 / $1,607.28 / $9,707.44	Professional		$761.51	$1,607.28	$9,707.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $702.23 / $1,124.19 / $1,394.00	Facility		$702.23	$1,124.19	$1,394.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,248.80 / $2,890.83 / $4,122.80	Professional		$2,248.80	$2,890.83	$4,122.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,132.00 / $17,132.00 / $17,132.00	Facility		$17,132.00	$17,132.00	$17,132.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,459.58 / $5,459.58 / $9,707.44	Professional		$5,459.58	$5,459.58	$9,707.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,007.54 / $2,007.54 / $2,007.54	Professional		$2,007.54	$2,007.54	$2,007.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,430.98 / $4,047.17 / $4,047.17	Professional		$2,430.98	$4,047.17	$4,047.17
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $761.51 / $1,711.41 / $2,960.30	Professional		$761.51	$1,711.41	$2,960.30