Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.59 / $1,463.94 / $14,482.00	Facility		$698.59	$1,463.94	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.77 / $723.71 / $3,178.27	Professional		$666.77	$723.71	$3,178.27
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 $650.49 / $1,609.66 / $4,116.72	Professional		$650.49	$1,609.66	$4,116.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,866.22 / $2,180.83 / $3,345.44	Facility		$1,866.22	$2,180.83	$3,345.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.91 / $2,847.76 / $3,236.09	Professional		$1,045.91	$2,847.76	$3,236.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $698.59 / $975.96 / $1,481.01	Facility		$698.59	$975.96	$1,481.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $698.59 / $1,129.92 / $14,246.00	Facility		$698.59	$1,129.92	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $731.40 / $1,336.47 / $5,300.32	Professional		$731.40	$1,336.47	$5,300.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $422.02 / $1,371.06	Professional		$66.47	$422.02	$1,371.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $698.59 / $910.69 / $1,481.01	Facility		$698.59	$910.69	$1,481.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,417.00 / $1,726.56 / $2,577.41	Professional		$1,417.00	$1,726.56	$2,577.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,370.84 / $3,370.84 / $3,370.84	Facility		$3,370.84	$3,370.84	$3,370.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,332.34 / $3,324.55 / $5,300.32	Professional		$1,332.34	$3,324.55	$5,300.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,315.09 / $2,315.09 / $2,315.09	Professional		$2,315.09	$2,315.09	$2,315.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,943.03 / $3,517.82 / $4,532.05	Professional		$1,943.03	$3,517.82	$4,532.05
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 $731.40 / $1,356.42 / $2,968.96	Professional		$731.40	$1,356.42	$2,968.96