Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.42 / $1,911.04 / $14,482.00	Facility		$778.42	$1,911.04	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $778.42 / $815.24 / $3,052.25	Professional		$778.42	$815.24	$3,052.25
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 $860.24 / $1,962.89 / $4,130.35	Professional		$860.24	$1,962.89	$4,130.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,419.51 / $2,827.39 / $4,337.28	Facility		$2,419.51	$2,827.39	$4,337.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $922.03 / $1,842.94 / $2,693.75	Professional		$922.03	$1,842.94	$2,693.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $849.35 / $1,204.33 / $2,673.39	Facility		$849.35	$1,204.33	$2,673.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $910.75 / $2,548.05 / $11,598.00	Facility		$910.75	$2,548.05	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $853.21 / $1,435.73 / $4,078.93	Professional		$853.21	$1,435.73	$4,078.93
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 $849.35 / $1,204.33 / $2,673.39	Facility		$849.35	$1,204.33	$2,673.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,770.57 / $2,270.17 / $3,221.70	Professional		$1,770.57	$2,270.17	$3,221.70
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 $1,073.69 / $3,896.46 / $6,896.16	Professional		$1,073.69	$3,896.46	$6,896.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,711.56 / $1,711.56 / $1,711.56	Professional		$1,711.56	$1,711.56	$1,711.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,601.64 / $3,129.17 / $3,941.90	Professional		$1,601.64	$3,129.17	$3,941.90
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 $824.52 / $1,404.06 / $3,608.18	Professional		$824.52	$1,404.06	$3,608.18