Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.66 / $1,741.91 / $14,482.00	Facility		$941.66	$1,741.91	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.46 / $941.66 / $1,741.91	Professional		$786.46	$941.66	$1,741.91
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 $806.92 / $1,931.61 / $4,930.39	Professional		$806.92	$1,931.61	$4,930.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,230.27 / $2,606.25 / $3,998.05	Facility		$2,230.27	$2,606.25	$3,998.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $939.95 / $2,694.07 / $3,490.05	Professional		$939.95	$2,694.07	$3,490.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $813.26 / $1,049.00 / $1,935.45	Facility		$813.26	$1,049.00	$1,935.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $813.26 / $1,193.00 / $12,855.00	Facility		$813.26	$1,193.00	$12,855.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $874.38 / $1,888.29 / $9,218.11	Professional		$874.38	$1,888.29	$9,218.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $726.13 / $1,793.86	Professional		$65.50	$726.13	$1,793.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $813.26 / $1,045.14 / $1,911.56	Facility		$813.26	$1,045.14	$1,911.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,530.00 / $2,040.51 / $3,530.72	Professional		$1,530.00	$2,040.51	$3,530.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $948.57 / $16,547.20 / $16,547.20	Facility		$948.57	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,182.20 / $3,989.45 / $9,218.11	Professional		$1,182.20	$3,989.45	$9,218.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,108.87 / $3,108.87 / $3,108.87	Professional		$3,108.87	$3,108.87	$3,108.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,814.14 / $4,261.37 / $4,261.37	Professional		$2,814.14	$4,261.37	$4,261.37
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,799.00 / $14,978.00	Facility		$5,266.00	$11,799.00	$14,978.00
United Facility/Professional Professional Modifier Low / Median / High Price $853.52 / $1,747.38 / $4,133.63	Professional		$853.52	$1,747.38	$4,133.63