Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.88 / $1,388.77 / $14,482.00	Facility		$660.88	$1,388.77	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.65 / $694.84 / $3,171.10	Professional		$648.65	$694.84	$3,171.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $664.14 / $1,525.11 / $3,954.14	Professional		$664.14	$1,525.11	$3,954.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,734.66 / $2,027.08 / $3,109.60	Facility		$1,734.66	$2,027.08	$3,109.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,063.99 / $2,699.51 / $3,067.63	Professional		$1,063.99	$2,699.51	$3,067.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $660.88 / $987.57 / $1,695.60	Facility		$660.88	$987.57	$1,695.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $671.53 / $1,388.77 / $14,246.00	Facility		$671.53	$1,388.77	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $800.59 / $1,452.87 / $7,925.30	Professional		$800.59	$1,452.87	$7,925.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $427.75 / $1,286.16	Professional		$66.47	$427.75	$1,286.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $660.88 / $957.14 / $1,695.60	Facility		$660.88	$957.14	$1,695.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,391.65 / $1,695.67 / $2,531.30	Professional		$1,391.65	$1,695.67	$2,531.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,727.54 / $5,727.54 / $5,727.54	Facility		$5,727.54	$5,727.54	$5,727.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,262.98 / $3,410.37 / $7,925.30	Professional		$1,262.98	$3,410.37	$7,925.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,206.55 / $2,206.55 / $2,206.55	Professional		$2,206.55	$2,206.55	$2,206.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,392.91 / $4,042.20 / $4,296.08	Professional		$2,392.91	$4,042.20	$4,296.08
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $1,419.38 / $3,018.52	Professional		$796.09	$1,419.38	$3,018.52