Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.88 / $1,448.89 / $14,482.00	Facility		$866.88	$1,448.89	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.45 / $866.88 / $2,529.53	Professional		$563.45	$866.88	$2,529.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $7,393.00 / $11,423.05	Facility		$1,979.00	$7,393.00	$11,423.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $698.57 / $1,978.90 / $4,194.10	Professional		$698.57	$1,978.90	$4,194.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,868.92 / $2,183.98 / $3,522.69	Facility		$1,868.92	$2,183.98	$3,522.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $959.48 / $2,177.75 / $2,960.70	Professional		$959.48	$2,177.75	$2,960.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $708.35 / $1,014.25 / $1,413.16	Facility		$708.35	$1,014.25	$1,413.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $772.74 / $2,730.00 / $6,150.00	Facility		$772.74	$2,730.00	$6,150.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $793.51 / $2,117.19 / $4,875.37	Professional		$793.51	$2,117.19	$4,875.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $428.61 / $1,365.68	Professional		$62.75	$428.61	$1,365.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $708.35 / $1,014.25 / $1,413.16	Facility		$708.35	$1,014.25	$1,413.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,378.00 / $2,127.84 / $2,842.32	Professional		$1,378.00	$2,127.84	$2,842.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,821.48 / $5,821.48 / $5,821.48	Facility		$5,821.48	$5,821.48	$5,821.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $990.42 / $3,435.10 / $5,256.40	Professional		$990.42	$3,435.10	$5,256.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,746.02 / $1,746.02 / $1,746.02	Professional		$1,746.02	$1,746.02	$1,746.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,817.27 / $4,250.09 / $4,250.09	Professional		$1,817.27	$4,250.09	$4,250.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $768.16 / $2,122.61 / $3,070.98	Professional		$768.16	$2,122.61	$3,070.98