Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.39 / $1,442.83 / $14,482.00	Facility		$846.39	$1,442.83	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.09 / $846.39 / $2,433.33	Professional		$549.09	$846.39	$2,433.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,066.00 / $21,984.61	Facility		$7,084.00	$12,066.00	$21,984.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $678.50 / $1,872.82 / $4,112.00	Professional		$678.50	$1,872.82	$4,112.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,817.56 / $2,123.96 / $3,425.87	Facility		$1,817.56	$2,123.96	$3,425.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,218.39 / $2,150.92 / $2,903.43	Professional		$1,218.39	$2,150.92	$2,903.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $705.39 / $949.90 / $1,378.71	Facility		$705.39	$949.90	$1,378.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $769.51 / $1,716.00 / $7,700.00	Facility		$769.51	$1,716.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $816.38 / $2,155.53 / $4,837.12	Professional		$816.38	$2,155.53	$4,837.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $455.25 / $1,456.81	Professional		$62.33	$455.25	$1,456.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $705.39 / $949.90 / $1,378.71	Facility		$705.39	$949.90	$1,378.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,431.30 / $2,202.00 / $2,767.66	Professional		$1,431.30	$2,202.00	$2,767.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,508.32 / $13,508.32 / $13,508.32	Facility		$13,508.32	$13,508.32	$13,508.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,247.38 / $3,408.15 / $5,292.96	Professional		$1,247.38	$3,408.15	$5,292.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,711.85 / $1,711.85 / $1,711.85	Professional		$1,711.85	$1,711.85	$1,711.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,636.50 / $4,197.70 / $4,197.70	Professional		$1,636.50	$4,197.70	$4,197.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $816.38 / $2,064.73 / $2,987.24	Professional		$816.38	$2,064.73	$2,987.24