Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.30 / $1,262.68 / $14,482.00	Facility		$777.30	$1,262.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.61 / $777.30 / $2,209.89	Professional		$432.61	$777.30	$2,209.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.66 / $1,504.08 / $3,743.87	Professional		$613.66	$1,504.08	$3,743.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,578.76 / $1,844.91 / $2,975.77	Facility		$1,578.76	$1,844.91	$2,975.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.26 / $1,897.17 / $2,540.81	Professional		$1,066.26	$1,897.17	$2,540.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $617.30 / $859.12 / $1,228.47	Facility		$617.30	$859.12	$1,228.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $703.94 / $2,803.00 / $7,868.00	Facility		$703.94	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $730.32 / $1,840.88 / $3,450.78	Professional		$730.32	$1,840.88	$3,450.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $870.99 / $1,599.41	Professional		$85.00	$870.99	$1,599.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $617.30 / $859.12 / $1,228.47	Facility		$617.30	$859.12	$1,228.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,252.55 / $1,934.13 / $2,550.65	Professional		$1,252.55	$1,934.13	$2,550.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,917.14 / $2,917.14 / $2,917.14	Facility		$2,917.14	$2,917.14	$2,917.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,089.04 / $3,037.75 / $5,559.51	Professional		$1,089.04	$3,037.75	$5,559.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,186.21 / $3,186.21 / $3,186.21	Professional		$3,186.21	$3,186.21	$3,186.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,867.12 / $4,251.20 / $4,251.20	Professional		$2,867.12	$4,251.20	$4,251.20
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 $730.32 / $1,836.67 / $3,105.75	Professional		$730.32	$1,836.67	$3,105.75