Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.29 / $1,794.56 / $14,482.00	Facility		$729.29	$1,794.56	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.29 / $765.87 / $2,525.21	Professional		$729.29	$765.87	$2,525.21
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 $836.65 / $1,839.00 / $3,812.40	Professional		$836.65	$1,839.00	$3,812.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,267.21 / $2,649.42 / $4,064.28	Facility		$2,267.21	$2,649.42	$4,064.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.91 / $1,729.41 / $2,525.73	Professional		$818.91	$1,729.41	$2,525.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $797.58 / $1,171.31 / $2,513.88	Facility		$797.58	$1,171.31	$2,513.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $853.27 / $2,392.73 / $8,384.00	Facility		$853.27	$2,392.73	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $832.97 / $1,352.20 / $3,989.68	Professional		$832.97	$1,352.20	$3,989.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $521.57 / $1,620.47	Professional		$63.88	$521.57	$1,620.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $797.58 / $1,171.31 / $2,513.88	Facility		$797.58	$1,171.31	$2,513.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,663.23 / $2,132.53 / $3,026.37	Professional		$1,663.23	$2,132.53	$3,026.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,623.24 / $6,817.20 / $6,817.20	Facility		$4,623.24	$6,817.20	$6,817.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,006.72 / $3,653.42 / $6,470.64	Professional		$1,006.72	$3,653.42	$6,470.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,601.71 / $1,601.71 / $1,601.71	Professional		$1,601.71	$1,601.71	$1,601.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,549.11 / $3,037.04 / $3,696.01	Professional		$1,549.11	$3,037.04	$3,696.01
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,611.00 / $9,134.00	Facility		$4,918.00	$7,611.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $809.42 / $1,584.15 / $3,676.65	Professional		$809.42	$1,584.15	$3,676.65