Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.12 / $1,754.75 / $14,482.00	Facility		$825.12	$1,754.75	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.79 / $962.01 / $3,314.53	Professional		$798.79	$962.01	$3,314.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $797.41 / $1,904.12 / $5,062.18	Professional		$797.41	$1,904.12	$5,062.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,218.56 / $2,592.56 / $3,977.05	Facility		$2,218.56	$2,592.56	$3,977.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,254.95 / $3,397.37 / $3,860.65	Professional		$1,254.95	$3,397.37	$3,860.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $779.89 / $985.10 / $1,818.08	Facility		$779.89	$985.10	$1,818.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $825.12 / $1,433.30 / $5,261.00	Facility		$825.12	$1,433.30	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $867.85 / $1,648.69 / $6,408.24	Professional		$867.85	$1,648.69	$6,408.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $526.52 / $1,657.18	Professional		$66.47	$526.52	$1,657.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $779.89 / $985.10 / $1,818.08	Facility		$779.89	$985.10	$1,818.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,784.25 / $2,174.04 / $3,228.04	Professional		$1,784.25	$2,174.04	$3,228.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,235.80 / $6,235.80 / $6,235.80	Facility		$6,235.80	$6,235.80	$6,235.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,589.48 / $3,957.95 / $6,408.24	Professional		$1,589.48	$3,957.95	$6,408.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,715.24 / $2,715.24 / $2,715.24	Professional		$2,715.24	$2,715.24	$2,715.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,446.92 / $4,161.47 / $5,406.72	Professional		$2,446.92	$4,161.47	$5,406.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $3,912.00 / $5,865.00	Facility		$2,960.00	$3,912.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $887.91 / $1,621.58 / $3,601.73	Professional		$887.91	$1,621.58	$3,601.73