Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.39 / $1,448.57 / $14,482.00	Facility		$693.39	$1,448.57	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.23 / $716.30 / $3,260.29	Professional		$677.23	$716.30	$3,260.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $17,650.31	Facility		$5,060.00	$8,006.00	$17,650.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $693.27 / $1,600.14 / $4,339.32	Professional		$693.27	$1,600.14	$4,339.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,850.90 / $2,162.92 / $3,317.98	Facility		$1,850.90	$2,162.92	$3,317.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.75 / $2,809.07 / $3,192.13	Professional		$977.75	$2,809.07	$3,192.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $677.23 / $965.72 / $1,532.39	Facility		$677.23	$965.72	$1,532.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $693.39 / $1,384.19 / $13,120.00	Facility		$693.39	$1,384.19	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $744.00 / $1,462.40 / $5,175.28	Professional		$744.00	$1,462.40	$5,175.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $414.04 / $1,323.26	Professional		$66.47	$414.04	$1,323.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $677.23 / $942.00 / $1,532.39	Facility		$677.23	$942.00	$1,532.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,361.10 / $1,658.45 / $2,475.73	Professional		$1,361.10	$1,658.45	$2,475.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,890.66 / $4,890.66 / $4,890.66	Facility		$4,890.66	$4,890.66	$4,890.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,314.25 / $3,410.35 / $5,175.28	Professional		$1,314.25	$3,410.35	$5,175.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,322.37 / $2,322.37 / $2,322.37	Professional		$2,322.37	$2,322.37	$2,322.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,158.69 / $3,682.26 / $4,470.50	Professional		$2,158.69	$3,682.26	$4,470.50
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 $720.61 / $1,391.42 / $3,103.42	Professional		$720.61	$1,391.42	$3,103.42