Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.80 / $2,774.48 / $14,482.00	Facility		$848.80	$2,774.48	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.84 / $848.80 / $2,116.79	Professional		$697.84	$848.80	$2,116.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $7,344.00	Facility		$2,740.00	$4,931.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.92 / $1,741.12 / $4,452.97	Professional		$741.92	$1,741.12	$4,452.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,012.20 / $2,351.42 / $3,607.13	Facility		$2,012.20	$2,351.42	$3,607.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.53 / $2,475.92 / $3,139.96	Professional		$802.53	$2,475.92	$3,139.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $619.50 / $848.80 / $1,487.56	Facility		$619.50	$848.80	$1,487.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $666.46 / $972.18 / $4,377.80	Facility		$666.46	$972.18	$4,377.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $783.14 / $1,735.38 / $5,632.00	Professional		$783.14	$1,735.38	$5,632.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $659.38 / $1,622.82	Professional		$65.50	$659.38	$1,622.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $619.50 / $848.80 / $1,487.56	Facility		$619.50	$848.80	$1,487.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,365.00 / $1,820.46 / $3,176.54	Professional		$1,365.00	$1,820.46	$3,176.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $850.77 / $5,351.52 / $5,351.52	Facility		$850.77	$5,351.52	$5,351.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,063.60 / $3,666.40 / $5,632.00	Professional		$1,063.60	$3,666.40	$5,632.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,807.82 / $2,807.82 / $2,807.82	Professional		$2,807.82	$2,807.82	$2,807.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,515.02 / $3,833.90 / $3,833.90	Professional		$2,515.02	$3,833.90	$3,833.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $740.48 / $1,501.90 / $3,308.93	Professional		$740.48	$1,501.90	$3,308.93