Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.36 / $1,549.19 / $8,243.00	Facility		$513.36	$1,549.19	$8,243.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.35 / $633.99 / $1,900.34	Professional		$500.35	$633.99	$1,900.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $743.15 / $1,736.39 / $3,375.04	Professional		$743.15	$1,736.39	$3,375.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,980.66 / $2,314.56 / $3,733.30	Facility		$1,980.66	$2,314.56	$3,733.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.91 / $1,778.53 / $2,921.00	Professional		$1,156.91	$1,778.53	$2,921.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $513.36 / $787.98 / $1,480.34	Facility		$513.36	$787.98	$1,480.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $539.69 / $1,136.96 / $11,100.00	Facility		$539.69	$1,136.96	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $836.76 / $2,057.41 / $4,558.64	Professional		$836.76	$2,057.41	$4,558.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $474.74 / $1,572.72	Professional		$70.00	$474.74	$1,572.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $513.36 / $787.98 / $1,480.34	Facility		$513.36	$787.98	$1,480.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,375.84 / $1,884.95 / $2,572.17	Professional		$1,375.84	$1,884.95	$2,572.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,334.76 / $4,334.76 / $4,334.76	Facility		$4,334.76	$4,334.76	$4,334.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,177.67 / $3,170.39 / $5,582.48	Professional		$1,177.67	$3,170.39	$5,582.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,127.59 / $1,127.59 / $1,395.77	Professional		$1,127.59	$1,127.59	$1,395.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,083.19 / $2,602.56 / $3,207.34	Professional		$1,083.19	$2,602.56	$3,207.34
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 $807.48 / $1,820.24 / $3,017.05	Professional		$807.48	$1,820.24	$3,017.05