Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.04 / $1,093.77 / $14,482.00	Facility		$772.04	$1,093.77	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.95 / $772.04 / $2,116.09	Professional		$404.95	$772.04	$2,116.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.75 / $1,382.75 / $3,733.15	Professional		$600.75	$1,382.75	$3,733.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,360.69 / $1,590.08 / $2,564.73	Facility		$1,360.69	$1,590.08	$2,564.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $923.62 / $1,648.82 / $2,347.46	Professional		$923.62	$1,648.82	$2,347.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $534.73 / $841.05 / $1,256.00	Facility		$534.73	$841.05	$1,256.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $618.57 / $6,564.00 / $12,216.00	Facility		$618.57	$6,564.00	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $719.35 / $1,806.18 / $3,514.72	Professional		$719.35	$1,806.18	$3,514.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $610.99 / $1,241.00	Professional		$76.54	$610.99	$1,241.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $534.73 / $841.05 / $1,256.00	Facility		$534.73	$841.05	$1,256.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,102.40 / $1,702.28 / $2,216.77	Professional		$1,102.40	$1,702.28	$2,216.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,421.25 / $11,421.25 / $11,421.25	Facility		$11,421.25	$11,421.25	$11,421.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $946.49 / $2,980.50 / $4,322.59	Professional		$946.49	$2,980.50	$4,322.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,177.10 / $3,177.10 / $3,177.10	Professional		$3,177.10	$3,177.10	$3,177.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,529.62 / $3,694.75 / $3,694.75	Professional		$2,529.62	$3,694.75	$3,694.75
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $715.29 / $2,005.74 / $3,050.79	Professional		$715.29	$2,005.74	$3,050.79