Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.38 / $1,503.61 / $14,482.00	Facility		$712.38	$1,503.61	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.97 / $743.71 / $3,336.34	Professional		$682.97	$743.71	$3,336.34
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 $699.55 / $1,643.95 / $4,181.58	Professional		$699.55	$1,643.95	$4,181.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,899.56 / $2,219.79 / $3,405.21	Facility		$1,899.56	$2,219.79	$3,405.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,074.36 / $2,911.24 / $3,308.23	Professional		$1,074.36	$2,911.24	$3,308.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $712.38 / $955.50 / $1,539.49	Facility		$712.38	$955.50	$1,539.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $712.38 / $1,184.58 / $14,246.00	Facility		$712.38	$1,184.58	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $767.78 / $1,512.66 / $5,440.00	Professional		$767.78	$1,512.66	$5,440.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $426.97 / $1,392.12	Professional		$66.47	$426.97	$1,392.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $712.38 / $942.00 / $1,539.49	Facility		$712.38	$942.00	$1,539.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,462.50 / $1,782.00 / $2,660.18	Professional		$1,462.50	$1,782.00	$2,660.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,050.03 / $6,050.03 / $6,050.03	Facility		$6,050.03	$6,050.03	$6,050.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,362.04 / $3,489.90 / $5,440.00	Professional		$1,362.04	$3,489.90	$5,440.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,351.56 / $2,351.56 / $2,351.56	Professional		$2,351.56	$2,351.56	$2,351.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,293.20 / $3,610.43 / $4,633.10	Professional		$1,293.20	$3,610.43	$4,633.10
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 $749.23 / $1,395.96 / $3,186.28	Professional		$749.23	$1,395.96	$3,186.28