Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.37 / $1,450.06 / $14,482.00	Facility		$973.37	$1,450.06	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $597.13 / $973.37 / $2,625.30	Professional		$597.13	$973.37	$2,625.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $747.31 / $2,071.71 / $4,694.20	Professional		$747.31	$2,071.71	$4,694.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,887.85 / $2,206.10 / $3,558.36	Facility		$1,887.85	$2,206.10	$3,558.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $960.26 / $2,195.48 / $2,967.85	Professional		$960.26	$2,195.48	$2,967.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $708.92 / $1,029.00 / $1,385.61	Facility		$708.92	$1,029.00	$1,385.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $778.08 / $4,103.00 / $8,384.00	Facility		$778.08	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $879.61 / $2,298.15 / $5,283.27	Professional		$879.61	$2,298.15	$5,283.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $432.06 / $1,429.60	Professional		$62.75	$432.06	$1,429.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $773.36 / $1,029.00 / $1,385.61	Facility		$773.36	$1,029.00	$1,385.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,378.65 / $2,128.85 / $2,968.54	Professional		$1,378.65	$2,128.85	$2,968.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,909.30 / $7,909.30 / $7,909.30	Facility		$7,909.30	$7,909.30	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $998.49 / $3,722.50 / $5,291.28	Professional		$998.49	$3,722.50	$5,291.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,954.21 / $1,954.21 / $1,954.21	Professional		$1,954.21	$1,954.21	$1,954.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,392.68 / $4,284.74 / $4,284.74	Professional		$1,392.68	$4,284.74	$4,284.74
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $832.28 / $2,269.51 / $3,327.92	Professional		$832.28	$2,269.51	$3,327.92