Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.84 / $1,105.81 / $14,482.00	Facility		$684.84	$1,105.81	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.09 / $684.84 / $857.51	Professional		$389.09	$684.84	$857.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $18,175.43 / $28,720.00	Facility		$12,080.00	$18,175.43	$28,720.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $544.80 / $1,291.20 / $3,335.00	Professional		$544.80	$1,291.20	$3,335.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,381.42 / $1,614.30 / $2,603.80	Facility		$1,381.42	$1,614.30	$2,603.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.79 / $1,669.84 / $2,211.34	Professional		$933.79	$1,669.84	$2,211.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $540.62 / $857.51 / $1,056.66	Facility		$540.62	$857.51	$1,056.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $620.90 / $3,364.00 / $7,868.00	Facility		$620.90	$3,364.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.80 / $1,839.78 / $3,081.57	Professional		$660.80	$1,839.78	$3,081.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $894.36 / $1,397.21	Professional		$85.00	$894.36	$1,397.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $540.62 / $857.51 / $1,056.66	Facility		$540.62	$857.51	$1,056.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $918.00 / $1,340.96 / $1,930.52	Professional		$918.00	$1,340.96	$1,930.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,176.40 / $7,176.40 / $7,176.40	Facility		$7,176.40	$7,176.40	$7,176.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $958.56 / $2,270.25 / $4,103.84	Professional		$958.56	$2,270.25	$4,103.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,838.22 / $2,838.22 / $2,838.22	Professional		$2,838.22	$2,838.22	$2,838.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,741.88 / $3,741.88 / $3,741.88	Professional		$3,741.88	$3,741.88	$3,741.88
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 $660.80 / $1,839.78 / $2,690.87	Professional		$660.80	$1,839.78	$2,690.87