Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.12 / $1,302.70 / $14,482.00	Facility		$798.12	$1,302.70	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.41 / $783.94 / $1,302.70	Professional		$428.41	$783.94	$1,302.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $611.00 / $1,521.48 / $3,843.81	Professional		$611.00	$1,521.48	$3,843.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,639.14 / $1,915.46 / $3,089.57	Facility		$1,639.14	$1,915.46	$3,089.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,100.05 / $1,957.74 / $2,637.21	Professional		$1,100.05	$1,957.74	$2,637.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $636.88 / $892.50 / $1,244.81	Facility		$636.88	$892.50	$1,244.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $725.92 / $8,791.00 / $16,779.00	Facility		$725.92	$8,791.00	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $734.54 / $1,855.18 / $3,610.07	Professional		$734.54	$1,855.18	$3,610.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $564.38 / $1,423.97	Professional		$62.75	$564.38	$1,423.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $636.88 / $892.50 / $1,244.81	Facility		$636.88	$892.50	$1,244.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,293.50 / $1,997.36 / $2,632.09	Professional		$1,293.50	$1,997.36	$2,632.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,070.15 / $17,070.15 / $17,070.15	Facility		$17,070.15	$17,070.15	$17,070.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,123.81 / $3,061.35 / $5,296.80	Professional		$1,123.81	$3,061.35	$5,296.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,271.23 / $3,271.23 / $3,271.23	Professional		$3,271.23	$3,271.23	$3,271.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,792.38 / $4,387.00 / $4,387.00	Professional		$2,792.38	$4,387.00	$4,387.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $12,373.00 / $15,090.00	Facility		$7,984.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $733.28 / $1,895.44 / $2,878.15	Professional		$733.28	$1,895.44	$2,878.15