Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.94 / $1,634.24 / $14,482.00	Facility		$664.94	$1,634.24	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.94 / $696.55 / $2,658.65	Professional		$664.94	$696.55	$2,658.65
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 $754.07 / $1,676.74 / $3,546.14	Professional		$754.07	$1,676.74	$3,546.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,069.87 / $2,418.81 / $3,710.52	Facility		$2,069.87	$2,418.81	$3,710.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $801.58 / $1,577.82 / $2,302.89	Professional		$801.58	$1,577.82	$2,302.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $726.33 / $1,055.70 / $2,280.84	Facility		$726.33	$1,055.70	$2,280.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $777.98 / $2,178.98 / $11,598.00	Facility		$777.98	$2,178.98	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $742.46 / $1,228.70 / $3,540.58	Professional		$742.46	$1,228.70	$3,540.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $447.71 / $1,468.44	Professional		$63.88	$447.71	$1,468.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $726.33 / $1,055.70 / $2,280.84	Facility		$726.33	$1,055.70	$2,280.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,512.82 / $1,939.68 / $2,752.69	Professional		$1,512.82	$1,939.68	$2,752.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,529.08 / $11,102.00 / $11,102.00	Facility		$7,529.08	$11,102.00	$11,102.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $917.90 / $3,331.08 / $5,890.96	Professional		$917.90	$3,331.08	$5,890.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,461.66 / $1,461.66 / $1,461.66	Professional		$1,461.66	$1,461.66	$1,461.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,415.53 / $2,725.68 / $3,369.92	Professional		$1,415.53	$2,725.68	$3,369.92
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 $731.65 / $1,228.70 / $2,977.66	Professional		$731.65	$1,228.70	$2,977.66