Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.57 / $1,400.35 / $14,482.00	Facility		$863.57	$1,400.35	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.66 / $863.57 / $2,730.98	Professional		$520.66	$863.57	$2,730.98
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 $683.21 / $1,672.15 / $4,139.24	Professional		$683.21	$1,672.15	$4,139.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,740.96 / $2,034.45 / $3,281.50	Facility		$1,740.96	$2,034.45	$3,281.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,267.79 / $2,111.21 / $3,098.46	Professional		$1,267.79	$2,111.21	$3,098.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $684.62 / $956.49 / $1,338.12	Facility		$684.62	$956.49	$1,338.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $6,564.00 / $12,216.00	Facility		$785.00	$6,564.00	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $827.53 / $2,330.29 / $4,024.92	Professional		$827.53	$2,330.29	$4,024.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $792.94 / $1,620.32	Professional		$76.54	$792.94	$1,620.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $684.62 / $956.49 / $1,338.12	Facility		$684.62	$956.49	$1,338.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,414.40 / $2,184.05 / $2,838.43	Professional		$1,414.40	$2,184.05	$2,838.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,141.44 / $9,141.44 / $9,141.44	Facility		$9,141.44	$9,141.44	$9,141.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,313.98 / $3,485.39 / $5,212.72	Professional		$1,313.98	$3,485.39	$5,212.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,552.86 / $3,552.86 / $3,552.86	Professional		$3,552.86	$3,552.86	$3,552.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,272.36 / $4,730.89 / $4,730.89	Professional		$3,272.36	$4,730.89	$4,730.89
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 $819.16 / $2,079.21 / $3,367.84	Professional		$819.16	$2,079.21	$3,367.84