Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.45 / $560.45 / $14,482.00	Facility		$560.45	$560.45	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.45 / $619.99 / $6,534.18	Professional		$560.45	$619.99	$6,534.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,870.00 / $16,083.00 / $22,519.00	Facility		$10,870.00	$16,083.00	$22,519.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $903.73 / $1,962.92 / $5,422.19	Professional		$903.73	$1,962.92	$5,422.19
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 $2,422.79 / $2,422.79 / $2,753.18	Professional		$2,422.79	$2,422.79	$2,753.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $560.45 / $840.68 / $1,394.00	Facility		$560.45	$840.68	$1,394.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $585.19 / $1,258.16 / $16,779.00	Facility		$585.19	$1,258.16	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $761.51 / $1,250.05 / $6,801.44	Professional		$761.51	$1,250.05	$6,801.44
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 $560.45 / $840.68 / $1,394.00	Facility		$560.45	$840.68	$1,394.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,575.60 / $2,071.39 / $2,888.60	Professional		$1,575.60	$2,071.39	$2,888.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,825.09 / $3,825.09 / $6,801.44	Professional		$3,825.09	$3,825.09	$6,801.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,149.67 / $2,149.67 / $2,149.67	Professional		$2,149.67	$2,149.67	$2,149.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,489.56 / $3,688.10 / $3,688.10	Professional		$2,489.56	$3,688.10	$3,688.10
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $761.51 / $1,282.85 / $2,882.04	Professional		$761.51	$1,282.85	$2,882.04