Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.53 / $1,485.32 / $14,482.00	Facility		$698.53	$1,485.32	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.48 / $733.22 / $3,242.70	Professional		$668.48	$733.22	$3,242.70
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 $680.19 / $1,612.00 / $4,102.43	Professional		$680.19	$1,612.00	$4,102.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,870.73 / $2,186.09 / $3,353.52	Facility		$1,870.73	$2,186.09	$3,353.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,113.02 / $2,862.33 / $3,252.65	Professional		$1,113.02	$2,862.33	$3,252.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $698.53 / $952.27 / $1,543.75	Facility		$698.53	$952.27	$1,543.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $698.53 / $1,324.99 / $14,246.00	Facility		$698.53	$1,324.99	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $805.82 / $1,485.67 / $5,488.46	Professional		$805.82	$1,485.67	$5,488.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $438.29 / $1,392.88	Professional		$66.47	$438.29	$1,392.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $698.53 / $942.00 / $1,543.75	Facility		$698.53	$942.00	$1,543.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,438.45 / $1,752.70 / $2,616.42	Professional		$1,438.45	$1,752.70	$2,616.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,390.28 / $3,390.28 / $3,390.28	Facility		$3,390.28	$3,390.28	$3,390.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,339.17 / $3,391.95 / $5,488.46	Professional		$1,339.17	$3,391.95	$5,488.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,307.07 / $2,307.07 / $2,307.07	Professional		$2,307.07	$2,307.07	$2,307.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,050.87 / $3,532.78 / $4,555.22	Professional		$2,050.87	$3,532.78	$4,555.22
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $760.06 / $1,432.11 / $3,086.67	Professional		$760.06	$1,432.11	$3,086.67