Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.92 / $2,328.85 / $14,482.00	Facility		$697.92	$2,328.85	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.55 / $697.92 / $1,856.99	Professional		$595.55	$697.92	$1,856.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,791.00 / $18,603.00	Facility		$7,084.00	$11,791.00	$18,603.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.20 / $1,431.63 / $3,678.52	Professional		$615.20	$1,431.63	$3,678.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,640.94 / $1,917.57 / $2,941.60	Facility		$1,640.94	$1,917.57	$2,941.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $780.36 / $2,171.63 / $2,607.48	Professional		$780.36	$2,171.63	$2,607.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $632.28 / $826.56 / $1,359.00	Facility		$632.28	$826.56	$1,359.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $632.10 / $935.22 / $13,721.00	Facility		$632.10	$935.22	$13,721.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $679.47 / $1,458.89 / $5,333.07	Professional		$679.47	$1,458.89	$5,333.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $572.27 / $1,353.66	Professional		$65.50	$572.27	$1,353.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $632.28 / $826.56 / $1,359.00	Facility		$632.28	$826.56	$1,359.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,600.40 / $2,637.87	Professional		$1,200.00	$1,600.40	$2,637.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $749.26 / $13,486.75 / $13,486.75	Facility		$749.26	$13,486.75	$13,486.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,106.48 / $3,082.25 / $5,333.07	Professional		$1,106.48	$3,082.25	$5,333.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,319.50 / $2,319.50 / $2,319.50	Professional		$2,319.50	$2,319.50	$2,319.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,111.06 / $3,183.73 / $3,183.73	Professional		$2,111.06	$3,183.73	$3,183.73
United Facility/Professional Facility Modifier Low / Median / High Price $5,729.00 / $12,373.00 / $15,903.00	Facility		$5,729.00	$12,373.00	$15,903.00
United Facility/Professional Professional Modifier Low / Median / High Price $678.10 / $1,205.03 / $2,781.73	Professional		$678.10	$1,205.03	$2,781.73