Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.56 / $1,642.99 / $14,482.00	Facility		$866.56	$1,642.99	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.09 / $866.56 / $2,319.62	Professional		$757.09	$866.56	$2,319.62
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 $771.13 / $1,777.57 / $4,565.54	Professional		$771.13	$1,777.57	$4,565.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,016.71 / $2,356.67 / $3,615.21	Facility		$2,016.71	$2,356.67	$3,615.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,035.08 / $2,716.66 / $3,212.85	Professional		$1,035.08	$2,716.66	$3,212.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $785.55 / $985.80 / $1,688.03	Facility		$785.55	$985.80	$1,688.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $785.55 / $1,093.60 / $5,728.00	Facility		$785.55	$1,093.60	$5,728.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $885.80 / $1,688.86 / $5,906.40	Professional		$885.80	$1,688.86	$5,906.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $718.78 / $1,775.83	Professional		$65.00	$718.78	$1,775.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $785.55 / $985.80 / $1,688.03	Facility		$785.55	$985.80	$1,688.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,513.20 / $2,018.10 / $3,250.28	Professional		$1,513.20	$2,018.10	$3,250.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $938.15 / $7,537.84 / $7,537.84	Facility		$938.15	$7,537.84	$7,537.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,275.85 / $3,855.85 / $5,906.40	Professional		$1,275.85	$3,855.85	$5,906.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,878.80 / $2,878.80 / $2,878.80	Professional		$2,878.80	$2,878.80	$2,878.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,654.35 / $3,922.90 / $3,922.90	Professional		$2,654.35	$3,922.90	$3,922.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,480.00 / $7,565.00 / $19,003.00	Facility		$2,480.00	$7,565.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $824.44 / $1,560.80 / $3,479.90	Professional		$824.44	$1,560.80	$3,479.90