Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.96 / $1,563.03 / $14,482.00	Facility		$745.96	$1,563.03	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.55 / $769.79 / $3,584.81	Professional		$712.55	$769.79	$3,584.81
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 $757.73 / $1,721.44 / $4,391.05	Professional		$757.73	$1,721.44	$4,391.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,982.46 / $2,316.67 / $3,553.83	Facility		$1,982.46	$2,316.67	$3,553.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,111.03 / $3,031.02 / $3,444.34	Professional		$1,111.03	$3,031.02	$3,444.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $745.96 / $1,044.96 / $1,736.70	Facility		$745.96	$1,044.96	$1,736.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $745.96 / $1,562.51 / $13,250.00	Facility		$745.96	$1,562.51	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $818.77 / $1,507.42 / $8,296.79	Professional		$818.77	$1,507.42	$8,296.79
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 $745.96 / $1,044.33 / $1,736.70	Facility		$745.96	$1,044.33	$1,736.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,508.65 / $1,838.23 / $2,744.12	Professional		$1,508.65	$1,838.23	$2,744.12
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 $1,418.08 / $3,749.80 / $8,296.79	Professional		$1,418.08	$3,749.80	$8,296.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,469.37 / $2,469.37 / $2,469.37	Professional		$2,469.37	$2,469.37	$2,469.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,308.31 / $3,842.11 / $4,823.70	Professional		$2,308.31	$3,842.11	$4,823.70
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 $813.35 / $1,382.00 / $3,412.32	Professional		$813.35	$1,382.00	$3,412.32