Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.78 / $1,337.83 / $14,482.00	Facility		$805.78	$1,337.83	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.87 / $805.78 / $2,103.48	Professional		$519.87	$805.78	$2,103.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.21 / $1,712.49 / $3,889.98	Professional		$594.21	$1,712.49	$3,889.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,742.77 / $2,036.56 / $3,284.90	Facility		$1,742.77	$2,036.56	$3,284.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.93 / $2,028.03 / $2,735.92	Professional		$885.93	$2,028.03	$2,735.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $654.04 / $942.76 / $1,278.36	Facility		$654.04	$942.76	$1,278.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $713.51 / $5,266.00 / $15,126.00	Facility		$713.51	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $712.64 / $1,873.52 / $4,299.85	Professional		$712.64	$1,873.52	$4,299.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $422.64 / $1,302.42	Professional		$62.75	$422.64	$1,302.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $654.04 / $942.76 / $1,278.36	Facility		$654.04	$942.76	$1,278.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,271.40 / $1,956.00 / $2,329.48	Professional		$1,271.40	$1,956.00	$2,329.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $922.33 / $3,029.60 / $7,623.00	Professional		$922.33	$3,029.60	$7,623.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,619.42 / $1,619.42 / $1,619.42	Professional		$1,619.42	$1,619.42	$1,619.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,486.99 / $3,957.92 / $3,957.92	Professional		$1,486.99	$3,957.92	$3,957.92
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $675.38 / $1,873.52 / $2,763.56	Professional		$675.38	$1,873.52	$2,763.56