Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.75 / $1,410.19 / $14,482.00	Facility		$735.75	$1,410.19	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.91 / $735.75 / $1,410.19	Professional		$627.91	$735.75	$1,410.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $649.50 / $1,509.24 / $3,884.46	Professional		$649.50	$1,509.24	$3,884.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,724.74 / $2,015.50 / $3,091.83	Facility		$1,724.74	$2,015.50	$3,091.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $805.00 / $2,280.91 / $2,746.49	Professional		$805.00	$2,280.91	$2,746.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $665.21 / $874.51 / $1,575.00	Facility		$665.21	$874.51	$1,575.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $665.21 / $1,004.80 / $4,821.00	Facility		$665.21	$1,004.80	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $719.27 / $1,598.58 / $5,037.76	Professional		$719.27	$1,598.58	$5,037.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $623.12 / $1,549.70	Professional		$65.50	$623.12	$1,549.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $665.21 / $874.51 / $1,575.00	Facility		$665.21	$874.51	$1,575.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,297.80 / $1,730.83 / $2,778.49	Professional		$1,297.80	$1,730.83	$2,778.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $804.60 / $6,414.40 / $6,414.40	Facility		$804.60	$6,414.40	$6,414.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,155.85 / $3,237.35 / $5,037.76	Professional		$1,155.85	$3,237.35	$5,037.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,449.36 / $2,449.36 / $2,449.36	Professional		$2,449.36	$2,449.36	$2,449.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,042.59 / $3,353.48 / $3,353.48	Professional		$2,042.59	$3,353.48	$3,353.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $705.41 / $1,417.96 / $2,921.71	Professional		$705.41	$1,417.96	$2,921.71