Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.70 / $1,417.05 / $14,482.00	Facility		$672.70	$1,417.05	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.23 / $697.50 / $3,009.87	Professional		$645.23	$697.50	$3,009.87
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 $668.54 / $1,552.38 / $3,951.26	Professional		$668.54	$1,552.38	$3,951.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,789.62 / $2,091.32 / $3,208.13	Facility		$1,789.62	$2,091.32	$3,208.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,010.15 / $2,741.10 / $3,114.89	Professional		$1,010.15	$2,741.10	$3,114.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $672.70 / $944.70 / $1,574.50	Facility		$672.70	$944.70	$1,574.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $672.70 / $1,396.36 / $13,250.00	Facility		$672.70	$1,396.36	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $715.83 / $1,345.01 / $6,008.36	Professional		$715.83	$1,345.01	$6,008.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $426.97 / $1,367.95	Professional		$66.47	$426.97	$1,367.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $672.70 / $941.78 / $1,574.50	Facility		$672.70	$941.78	$1,574.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,368.90 / $1,667.95 / $2,489.92	Professional		$1,368.90	$1,667.95	$2,489.92
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 $1,282.45 / $3,148.40 / $6,008.36	Professional		$1,282.45	$3,148.40	$6,008.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,222.02 / $2,222.02 / $2,222.02	Professional		$2,222.02	$2,222.02	$2,222.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,253.21 / $3,433.41 / $4,362.34	Professional		$2,253.21	$3,433.41	$4,362.34
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $709.76 / $1,343.90 / $2,883.93	Professional		$709.76	$1,343.90	$2,883.93