Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.74 / $1,461.49 / $14,482.00	Facility		$699.74	$1,461.49	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.84 / $720.38 / $3,307.47	Professional		$666.84	$720.38	$3,307.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,800.00 / $18,360.00	Facility		$6,538.00	$10,800.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $692.24 / $1,399.46 / $4,347.64	Professional		$692.24	$1,399.46	$4,347.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,851.80 / $2,163.98 / $3,319.60	Facility		$1,851.80	$2,163.98	$3,319.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,030.50 / $2,825.75 / $3,211.08	Professional		$1,030.50	$2,825.75	$3,211.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $699.74 / $954.43 / $1,623.88	Facility		$699.74	$954.43	$1,623.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $699.74 / $1,419.76 / $13,120.00	Facility		$699.74	$1,419.76	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $749.22 / $1,390.80 / $6,724.95	Professional		$749.22	$1,390.80	$6,724.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $425.49 / $1,371.06	Professional		$66.47	$425.49	$1,371.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $699.74 / $913.60 / $1,623.88	Facility		$699.74	$913.60	$1,623.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,406.60 / $1,713.89 / $2,558.50	Professional		$1,406.60	$1,713.89	$2,558.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,666.88 / $6,666.88 / $6,666.88	Facility		$6,666.88	$6,666.88	$6,666.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,322.03 / $3,459.70 / $6,724.95	Professional		$1,322.03	$3,459.70	$6,724.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,331.96 / $2,331.96 / $2,331.96	Professional		$2,331.96	$2,331.96	$2,331.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,211.64 / $3,590.42 / $4,496.99	Professional		$2,211.64	$3,590.42	$4,496.99
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 $749.22 / $1,319.10 / $3,148.33	Professional		$749.22	$1,319.10	$3,148.33