Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.76 / $1,441.67 / $14,482.00	Facility		$682.76	$1,441.67	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $654.26 / $712.78 / $3,194.00	Professional		$654.26	$712.78	$3,194.00
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 $667.52 / $1,575.59 / $4,011.61	Professional		$667.52	$1,575.59	$4,011.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,823.87 / $2,131.33 / $3,269.52	Facility		$1,823.87	$2,131.33	$3,269.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,100.00 / $2,792.91 / $3,173.76	Professional		$1,100.00	$2,792.91	$3,173.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $682.76 / $955.86 / $1,508.90	Facility		$682.76	$955.86	$1,508.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $682.76 / $1,326.07 / $14,246.00	Facility		$682.76	$1,326.07	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.30 / $1,469.02 / $5,337.89	Professional		$794.30	$1,469.02	$5,337.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $421.51 / $1,392.12	Professional		$66.47	$421.51	$1,392.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $682.76 / $934.53 / $1,508.90	Facility		$682.76	$934.53	$1,508.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,400.75 / $1,706.76 / $2,547.86	Professional		$1,400.75	$1,706.76	$2,547.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,316.24 / $3,316.24 / $3,316.24	Facility		$3,316.24	$3,316.24	$3,316.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,306.69 / $3,341.00 / $5,337.89	Professional		$1,306.69	$3,341.00	$5,337.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,255.98 / $2,255.98 / $2,255.98	Professional		$2,255.98	$2,255.98	$2,255.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,026.68 / $3,460.54 / $4,444.77	Professional		$2,026.68	$3,460.54	$4,444.77
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 $750.05 / $1,448.12 / $3,050.33	Professional		$750.05	$1,448.12	$3,050.33