Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.40 / $1,683.49 / $14,482.00	Facility		$773.40	$1,683.49	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $773.40 / $791.10 / $2,915.39	Professional		$773.40	$791.10	$2,915.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,066.00 / $19,370.00	Facility		$7,084.00	$12,066.00	$19,370.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $814.29 / $2,244.38 / $4,655.74	Professional		$814.29	$2,244.38	$4,655.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,105.92 / $2,460.92 / $3,969.39	Facility		$2,105.92	$2,460.92	$3,969.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,421.62 / $2,535.28 / $3,364.43	Professional		$1,421.62	$2,535.28	$3,364.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $773.40 / $904.88 / $1,884.00	Facility		$773.40	$904.88	$1,884.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $779.62 / $1,911.00 / $7,700.00	Facility		$779.62	$1,911.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $979.07 / $2,033.78 / $4,773.71	Professional		$979.07	$2,033.78	$4,773.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $661.16 / $1,855.30	Professional		$53.80	$661.16	$1,855.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $773.40 / $957.72 / $1,884.00	Facility		$773.40	$957.72	$1,884.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,683.50 / $2,595.75 / $3,630.12	Professional		$1,683.50	$2,595.75	$3,630.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,881.83 / $12,881.83 / $12,881.83	Facility		$12,881.83	$12,881.83	$12,881.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,455.34 / $4,066.75 / $11,002.00	Professional		$1,455.34	$4,066.75	$11,002.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,259.64 / $4,259.64 / $4,259.64	Professional		$4,259.64	$4,259.64	$4,259.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,822.66 / $5,681.16 / $5,681.16	Professional		$3,822.66	$5,681.16	$5,681.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $979.07 / $2,094.46 / $3,564.51	Professional		$979.07	$2,094.46	$3,564.51