Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.26 / $2,368.51 / $14,482.00	Facility		$711.26	$2,368.51	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.61 / $711.26 / $1,097.65	Professional		$620.61	$711.26	$1,097.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,523.00 / $18,603.00	Facility		$7,084.00	$11,523.00	$18,603.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $628.88 / $1,459.00 / $3,751.10	Professional		$628.88	$1,459.00	$3,751.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,668.87 / $1,950.21 / $2,991.67	Facility		$1,668.87	$1,950.21	$2,991.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $823.90 / $2,217.75 / $2,653.20	Professional		$823.90	$2,217.75	$2,653.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $649.66 / $775.41 / $1,298.30	Facility		$649.66	$775.41	$1,298.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $643.74 / $909.69 / $14,246.00	Facility		$643.74	$909.69	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $704.11 / $1,378.69 / $4,870.32	Professional		$704.11	$1,378.69	$4,870.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $568.45 / $1,344.84	Professional		$65.00	$568.45	$1,344.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $643.74 / $787.03 / $1,337.01	Facility		$643.74	$787.03	$1,337.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,221.00 / $1,628.41 / $2,684.11	Professional		$1,221.00	$1,628.41	$2,684.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $764.02 / $16,223.75 / $16,223.75	Facility		$764.02	$16,223.75	$16,223.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,010.68 / $3,147.70 / $4,870.32	Professional		$1,010.68	$3,147.70	$4,870.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,365.23 / $2,365.23 / $2,365.23	Professional		$2,365.23	$2,365.23	$2,365.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,042.63 / $3,239.58 / $3,239.58	Professional		$2,042.63	$3,239.58	$3,239.58
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,903.00	Facility		$8,627.00	$12,373.00	$15,903.00
United Facility/Professional Professional Modifier Low / Median / High Price $692.49 / $1,260.26 / $2,840.80	Professional		$692.49	$1,260.26	$2,840.80