Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $780.62 / $2,009.11 / $14,482.00	Facility		$780.62	$2,009.11	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.62 / $858.16 / $3,101.95	Professional		$780.62	$858.16	$3,101.95
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 $896.91 / $1,970.87 / $4,265.18	Professional		$896.91	$1,970.87	$4,265.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,540.26 / $2,968.49 / $4,553.74	Facility		$2,540.26	$2,968.49	$4,553.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $971.44 / $1,934.71 / $2,832.38	Professional		$971.44	$1,934.71	$2,832.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $878.23 / $1,255.67 / $2,821.17	Facility		$878.23	$1,255.67	$2,821.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $913.33 / $2,678.82 / $11,598.00	Facility		$913.33	$2,678.82	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $892.94 / $1,495.54 / $4,214.87	Professional		$892.94	$1,495.54	$4,214.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $588.30 / $1,776.22	Professional		$63.88	$588.30	$1,776.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $878.23 / $1,255.67 / $2,821.17	Facility		$878.23	$1,255.67	$2,821.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,863.56 / $2,389.40 / $3,390.90	Professional		$1,863.56	$2,389.40	$3,390.90
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 $1,128.95 / $4,096.97 / $7,262.32	Professional		$1,128.95	$4,096.97	$7,262.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,724.65 / $1,724.65 / $1,724.65	Professional		$1,724.65	$1,724.65	$1,724.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,668.95 / $3,180.14 / $4,144.74	Professional		$1,668.95	$3,180.14	$4,144.74
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $863.61 / $1,495.54 / $3,411.79	Professional		$863.61	$1,495.54	$3,411.79