Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.29 / $2,240.31 / $14,482.00	Facility		$779.29	$2,240.31	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.27 / $779.29 / $2,895.00	Professional		$605.27	$779.29	$2,895.00
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 $621.69 / $1,518.50 / $3,779.55	Professional		$621.69	$1,518.50	$3,779.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,572.45 / $1,837.54 / $2,963.88	Facility		$1,572.45	$1,837.54	$2,963.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,143.63 / $1,898.79 / $2,517.79	Professional		$1,143.63	$1,898.79	$2,517.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $614.54 / $975.57 / $1,774.50	Facility		$614.54	$975.57	$1,774.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $708.09 / $6,241.00 / $12,216.00	Facility		$708.09	$6,241.00	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $747.23 / $1,876.21 / $3,650.99	Professional		$747.23	$1,876.21	$3,650.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $711.36 / $1,477.48	Professional		$76.54	$711.36	$1,477.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $614.54 / $975.57 / $1,774.50	Facility		$614.54	$975.57	$1,774.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,261.65 / $1,948.18 / $2,552.83	Professional		$1,261.65	$1,948.18	$2,552.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,011.04 / $9,011.04 / $9,011.04	Facility		$9,011.04	$9,011.04	$9,011.04
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $854.12 / $854.12 / $854.12	Facility	AS	$854.12	$854.12	$854.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,181.76 / $3,096.05 / $4,667.04	Professional		$1,181.76	$3,096.05	$4,667.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,216.92 / $4,254.89 / $4,254.89	Professional		$2,216.92	$4,254.89	$4,254.89
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $747.23 / $1,876.21 / $3,054.49	Professional		$747.23	$1,876.21	$3,054.49