Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.88 / $1,497.85 / $14,482.00	Facility		$714.88	$1,497.85	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.62 / $737.41 / $3,435.34	Professional		$682.62	$737.41	$3,435.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $726.57 / $1,649.73 / $4,209.77	Professional		$726.57	$1,649.73	$4,209.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,901.36 / $2,221.89 / $3,408.44	Facility		$1,901.36	$2,221.89	$3,408.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,061.96 / $2,905.89 / $3,302.15	Professional		$1,061.96	$2,905.89	$3,302.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $714.88 / $998.57 / $1,515.55	Facility		$714.88	$998.57	$1,515.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $714.88 / $1,431.28 / $13,250.00	Facility		$714.88	$1,431.28	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $778.81 / $1,444.57 / $5,410.32	Professional		$778.81	$1,444.57	$5,410.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $442.23 / $1,439.31	Professional		$66.47	$442.23	$1,439.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $714.88 / $975.35 / $1,515.55	Facility		$714.88	$975.35	$1,515.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,444.30 / $1,759.82 / $2,627.07	Professional		$1,444.30	$1,759.82	$2,627.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,960.05 / $13,960.05 / $13,960.05	Facility		$13,960.05	$13,960.05	$13,960.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,359.54 / $3,593.45 / $5,410.32	Professional		$1,359.54	$3,593.45	$5,410.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,367.41 / $2,367.41 / $2,367.41	Professional		$2,367.41	$2,367.41	$2,367.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,932.70 / $3,682.56 / $4,624.52	Professional		$1,932.70	$3,682.56	$4,624.52
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $778.81 / $1,466.13 / $3,270.04	Professional		$778.81	$1,466.13	$3,270.04