Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.59 / $1,111.14 / $14,482.00	Facility		$684.59	$1,111.14	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.69 / $684.59 / $2,182.78	Professional		$383.69	$684.59	$2,182.78
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 $539.19 / $1,323.83 / $3,307.00	Professional		$539.19	$1,323.83	$3,307.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,384.12 / $1,617.45 / $2,608.90	Facility		$1,384.12	$1,617.45	$2,608.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.35 / $1,675.14 / $2,473.25	Professional		$1,008.35	$1,675.14	$2,473.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $543.22 / $859.08 / $2,394.00	Facility		$543.22	$859.08	$2,394.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $627.71 / $6,241.00 / $12,216.00	Facility		$627.71	$6,241.00	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $668.10 / $1,801.07 / $3,172.75	Professional		$668.10	$1,801.07	$3,172.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $644.89 / $1,313.45	Professional		$76.54	$644.89	$1,313.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $543.22 / $859.08 / $2,394.00	Facility		$543.22	$859.08	$2,394.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,118.65 / $1,727.37 / $2,252.15	Professional		$1,118.65	$1,727.37	$2,252.15
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 Professional Modifier Low / Median / High Price $1,042.57 / $2,718.52 / $6,462.41	Professional		$1,042.57	$2,718.52	$6,462.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,814.40 / $2,814.40 / $2,814.40	Professional		$2,814.40	$2,814.40	$2,814.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,590.35 / $3,753.71 / $3,753.71	Professional		$2,590.35	$3,753.71	$3,753.71
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 $651.16 / $1,789.79 / $2,652.14	Professional		$651.16	$1,789.79	$2,652.14