Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.38 / $1,620.92 / $14,482.00	Facility		$776.38	$1,620.92	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.27 / $796.51 / $3,061.74	Professional		$717.27	$796.51	$3,061.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,201.00 / $17,650.31	Facility		$6,538.00	$10,201.00	$17,650.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $745.14 / $1,791.64 / $4,802.43	Professional		$745.14	$1,791.64	$4,802.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,056.36 / $2,403.01 / $3,686.29	Facility		$2,056.36	$2,403.01	$3,686.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,169.40 / $3,148.83 / $3,578.21	Professional		$1,169.40	$3,148.83	$3,578.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $776.38 / $1,086.93 / $1,728.94	Facility		$776.38	$1,086.93	$1,728.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.38 / $1,544.88 / $13,120.00	Facility		$776.38	$1,544.88	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $859.53 / $1,533.38 / $6,581.31	Professional		$859.53	$1,533.38	$6,581.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $461.05 / $1,525.19	Professional		$66.47	$461.05	$1,525.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $776.38 / $1,080.61 / $1,728.94	Facility		$776.38	$1,080.61	$1,728.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,565.20 / $1,907.14 / $2,846.98	Professional		$1,565.20	$1,907.14	$2,846.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,446.32 / $7,446.32 / $7,446.32	Facility		$7,446.32	$7,446.32	$7,446.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,473.20 / $3,701.00 / $6,581.31	Professional		$1,473.20	$3,701.00	$6,581.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,575.92 / $2,575.92 / $2,575.92	Professional		$2,575.92	$2,575.92	$2,575.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.92 / $4,077.31 / $5,011.20	Professional		$2,570.92	$4,077.31	$5,011.20
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 $835.18 / $1,533.38 / $3,551.70	Professional		$835.18	$1,533.38	$3,551.70