Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.53 / $2,982.88 / $14,482.00	Facility		$908.53	$2,982.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.90 / $908.53 / $2,313.15	Professional		$755.90	$908.53	$2,313.15
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 $807.66 / $1,863.65 / $4,751.82	Professional		$807.66	$1,863.65	$4,751.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,139.26 / $2,499.89 / $3,834.90	Facility		$2,139.26	$2,499.89	$3,834.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $943.90 / $2,688.47 / $3,372.83	Professional		$943.90	$2,688.47	$3,372.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $800.55 / $1,062.98 / $1,848.00	Facility		$800.55	$1,062.98	$1,848.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $782.07 / $1,182.61 / $12,855.00	Facility		$782.07	$1,182.61	$12,855.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $858.63 / $1,884.36 / $7,007.28	Professional		$858.63	$1,884.36	$7,007.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $734.76 / $1,794.84	Professional		$65.50	$734.76	$1,794.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $779.26 / $1,052.36 / $1,859.65	Facility		$779.26	$1,052.36	$1,859.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,477.20 / $1,970.09 / $3,412.13	Professional		$1,477.20	$1,970.09	$3,412.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $924.12 / $16,547.20 / $16,547.20	Facility		$924.12	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,142.49 / $3,981.15 / $7,007.28	Professional		$1,142.49	$3,981.15	$7,007.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,994.45 / $2,994.45 / $2,994.45	Professional		$2,994.45	$2,994.45	$2,994.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,703.93 / $4,118.26 / $4,118.26	Professional		$2,703.93	$4,118.26	$4,118.26
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,733.00 / $13,980.00	Facility		$5,266.00	$11,733.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $854.60 / $1,621.17 / $3,592.99	Professional		$854.60	$1,621.17	$3,592.99