Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.95 / $1,476.00 / $14,482.00	Facility		$698.95	$1,476.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.21 / $729.74 / $2,788.00	Professional		$640.21	$729.74	$2,788.00
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 $685.26 / $1,529.70 / $4,101.45	Professional		$685.26	$1,529.70	$4,101.45
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 $1,055.20 / $2,858.19 / $3,247.94	Professional		$1,055.20	$2,858.19	$3,247.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $698.95 / $909.83 / $1,481.77	Facility		$698.95	$909.83	$1,481.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $698.95 / $1,157.97 / $14,246.00	Facility		$698.95	$1,157.97	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $783.60 / $1,375.22 / $5,338.00	Professional		$783.60	$1,375.22	$5,338.00
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 $698.95 / $905.86 / $1,481.77	Facility		$698.95	$905.86	$1,481.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,433.90 / $1,747.15 / $2,608.15	Professional		$1,433.90	$1,747.15	$2,608.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,937.26 / $5,937.26 / $5,937.26	Facility		$5,937.26	$5,937.26	$5,937.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,337.23 / $3,418.80 / $5,338.00	Professional		$1,337.23	$3,418.80	$5,338.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,306.48 / $2,306.48 / $2,306.48	Professional		$2,306.48	$2,306.48	$2,306.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,075.17 / $3,539.13 / $4,548.64	Professional		$2,075.17	$3,539.13	$4,548.64
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 $747.78 / $1,434.73 / $3,053.13	Professional		$747.78	$1,434.73	$3,053.13