Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.93 / $1,499.04 / $14,482.00	Facility		$714.93	$1,499.04	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.44 / $741.45 / $3,255.56	Professional		$682.44	$741.45	$3,255.56
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 $670.01 / $1,649.34 / $4,211.41	Professional		$670.01	$1,649.34	$4,211.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,910.37 / $2,232.42 / $3,424.60	Facility		$1,910.37	$2,232.42	$3,424.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,072.92 / $2,915.00 / $3,312.50	Professional		$1,072.92	$2,915.00	$3,312.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $714.93 / $980.31 / $1,515.65	Facility		$714.93	$980.31	$1,515.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $714.93 / $1,155.95 / $14,246.00	Facility		$714.93	$1,155.95	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $746.78 / $1,368.97 / $5,425.44	Professional		$746.78	$1,368.97	$5,425.44
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 $714.93 / $938.01 / $1,515.65	Facility		$714.93	$938.01	$1,515.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,452.10 / $1,769.33 / $2,641.26	Professional		$1,452.10	$1,769.33	$2,641.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,450.20 / $3,450.20 / $3,450.20	Facility		$3,450.20	$3,450.20	$3,450.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,363.80 / $3,405.40 / $5,425.44	Professional		$1,363.80	$3,405.40	$5,425.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,368.34 / $2,368.34 / $2,368.34	Professional		$2,368.34	$2,368.34	$2,368.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,010.83 / $3,599.98 / $4,639.05	Professional		$2,010.83	$3,599.98	$4,639.05
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 $743.08 / $1,478.64 / $3,268.03	Professional		$743.08	$1,478.64	$3,268.03