Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $763.74 / $1,892.25 / $14,482.00	Facility		$763.74	$1,892.25	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $763.74 / $847.91 / $1,892.25	Professional		$763.74	$847.91	$1,892.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $880.97 / $1,925.88 / $3,997.96	Professional		$880.97	$1,925.88	$3,997.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,372.65 / $2,772.63 / $4,253.28	Facility		$2,372.65	$2,772.63	$4,253.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $859.97 / $1,821.86 / $2,647.21	Professional		$859.97	$1,821.86	$2,647.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $841.00 / $1,233.35 / $2,663.97	Facility		$841.00	$1,233.35	$2,663.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $893.58 / $2,523.00 / $8,384.00	Facility		$893.58	$2,523.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $868.30 / $1,424.17 / $4,241.88	Professional		$868.30	$1,424.17	$4,241.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $543.84 / $1,630.96	Professional		$63.88	$543.84	$1,630.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $841.00 / $1,233.35 / $2,663.97	Facility		$841.00	$1,233.35	$2,663.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,758.71 / $2,254.96 / $3,200.12	Professional		$1,758.71	$2,254.96	$3,200.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,623.24 / $10,249.53 / $10,249.53	Facility		$4,623.24	$10,249.53	$10,249.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,055.14 / $3,829.14 / $6,791.44	Professional		$1,055.14	$3,829.14	$6,791.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,670.47 / $1,670.47 / $1,670.47	Professional		$1,670.47	$1,670.47	$1,670.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,655.48 / $3,241.10 / $3,873.77	Professional		$1,655.48	$3,241.10	$3,873.77
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $841.00 / $1,449.20 / $3,464.90	Professional		$841.00	$1,449.20	$3,464.90