Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.23 / $1,365.97 / $14,482.00	Facility		$646.23	$1,365.97	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.11 / $675.27 / $3,031.14	Professional		$620.11	$675.27	$3,031.14
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 $635.42 / $1,491.30 / $3,793.76	Professional		$635.42	$1,491.30	$3,793.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,722.94 / $2,013.39 / $3,088.60	Facility		$1,722.94	$2,013.39	$3,088.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.01 / $2,643.12 / $3,003.55	Professional		$975.01	$2,643.12	$3,003.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $646.23 / $910.65 / $1,428.17	Facility		$646.23	$910.65	$1,428.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $646.23 / $1,305.27 / $14,246.00	Facility		$646.23	$1,305.27	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.66 / $1,283.48 / $4,992.93	Professional		$707.66	$1,283.48	$4,992.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $381.78 / $1,254.16	Professional		$65.66	$381.78	$1,254.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $646.23 / $904.72 / $1,428.17	Facility		$646.23	$904.72	$1,428.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,328.60 / $1,618.85 / $2,416.62	Professional		$1,328.60	$1,618.85	$2,416.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,925.15 / $3,925.15 / $3,925.15	Facility		$3,925.15	$3,925.15	$3,925.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,236.58 / $3,170.65 / $4,992.93	Professional		$1,236.58	$3,170.65	$4,992.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,133.48 / $2,133.48 / $2,133.48	Professional		$2,133.48	$2,133.48	$2,133.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,912.15 / $3,274.95 / $4,206.31	Professional		$1,912.15	$3,274.95	$4,206.31
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 $696.96 / $1,283.48 / $2,885.29	Professional		$696.96	$1,283.48	$2,885.29