Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.16 / $1,938.56 / $14,482.00	Facility		$776.16	$1,938.56	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.82 / $826.44 / $3,072.69	Professional		$774.82	$826.44	$3,072.69
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 $867.40 / $1,911.26 / $4,108.37	Professional		$867.40	$1,911.26	$4,108.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,395.17 / $2,798.95 / $4,293.67	Facility		$2,395.17	$2,798.95	$4,293.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $931.33 / $1,870.81 / $2,667.99	Professional		$931.33	$1,870.81	$2,667.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $861.21 / $1,214.35 / $2,707.35	Facility		$861.21	$1,214.35	$2,707.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $908.11 / $2,584.73 / $8,384.00	Facility		$908.11	$2,584.73	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $861.58 / $1,491.32 / $4,103.03	Professional		$861.58	$1,491.32	$4,103.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $553.18 / $1,695.57	Professional		$63.88	$553.18	$1,695.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $861.21 / $1,214.35 / $2,707.35	Facility		$861.21	$1,214.35	$2,707.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,794.91 / $2,301.38 / $3,265.99	Professional		$1,794.91	$2,301.38	$3,265.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,623.24 / $7,595.63 / $7,595.63	Facility		$4,623.24	$7,595.63	$7,595.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,063.43 / $3,859.20 / $6,837.36	Professional		$1,063.43	$3,859.20	$6,837.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,702.05 / $1,702.05 / $1,702.05	Professional		$1,702.05	$1,702.05	$1,702.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,615.99 / $3,150.14 / $3,904.23	Professional		$1,615.99	$3,150.14	$3,904.23
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $836.06 / $1,461.46 / $3,319.34	Professional		$836.06	$1,461.46	$3,319.34