Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.22 / $2,560.98 / $14,482.00	Facility		$771.22	$2,560.98	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $652.42 / $771.22 / $2,031.41	Professional		$652.42	$771.22	$2,031.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,038.00 / $15,579.70	Facility		$6,538.00	$10,038.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $693.48 / $1,581.98 / $4,040.77	Professional		$693.48	$1,581.98	$4,040.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,824.77 / $2,132.39 / $3,271.13	Facility		$1,824.77	$2,132.39	$3,271.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $813.22 / $2,323.55 / $2,868.11	Professional		$813.22	$2,323.55	$2,868.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $684.51 / $920.18 / $1,701.00	Facility		$684.51	$920.18	$1,701.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $663.79 / $1,009.72 / $12,855.00	Facility		$663.79	$1,009.72	$12,855.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $745.61 / $1,628.58 / $11,064.05	Professional		$745.61	$1,628.58	$11,064.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $615.48 / $1,534.65	Professional		$65.50	$615.48	$1,534.65
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $663.79 / $903.23 / $1,701.00	Facility		$663.79	$903.23	$1,701.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,278.00 / $1,704.43 / $2,901.53	Professional		$1,278.00	$1,704.43	$2,901.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $792.33 / $16,547.20 / $16,547.20	Facility		$792.33	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $971.53 / $3,440.75 / $11,064.05	Professional		$971.53	$3,440.75	$11,064.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,539.08 / $2,539.08 / $2,539.08	Professional		$2,539.08	$2,539.08	$2,539.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,321.48 / $3,501.99 / $3,501.99	Professional		$2,321.48	$3,501.99	$3,501.99
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,799.00 / $13,980.00	Facility		$7,301.00	$11,799.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $745.61 / $1,628.58 / $3,105.28	Professional		$745.61	$1,628.58	$3,105.28