Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.40 / $1,431.41 / $14,482.00	Facility		$870.40	$1,431.41	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.70 / $870.40 / $1,948.31	Professional		$317.70	$870.40	$1,948.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $649.80 / $1,558.93 / $3,952.45	Professional		$649.80	$1,558.93	$3,952.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,807.65 / $2,112.38 / $3,407.19	Facility		$1,807.65	$2,112.38	$3,407.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,310.53 / $2,148.39 / $2,912.01	Professional		$1,310.53	$2,148.39	$2,912.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $699.80 / $942.00 / $1,367.79	Facility		$699.80	$942.00	$1,367.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $763.42 / $6,564.00 / $12,216.00	Facility		$763.42	$6,564.00	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $723.98 / $1,579.19 / $3,840.78	Professional		$723.98	$1,579.19	$3,840.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $636.17 / $1,626.55	Professional		$62.75	$636.17	$1,626.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $699.80 / $942.00 / $1,367.79	Facility		$699.80	$942.00	$1,367.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,464.45 / $2,261.34 / $2,888.41	Professional		$1,464.45	$2,261.34	$2,888.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,376.73 / $9,376.73 / $9,376.73	Facility		$9,376.73	$9,376.73	$9,376.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,337.10 / $3,257.00 / $5,250.80	Professional		$1,337.10	$3,257.00	$5,250.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,520.42 / $3,520.42 / $3,520.42	Professional		$3,520.42	$3,520.42	$3,520.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,272.73 / $4,814.14 / $4,814.14	Professional		$2,272.73	$4,814.14	$4,814.14
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 $723.98 / $1,502.13 / $2,898.73	Professional		$723.98	$1,502.13	$2,898.73