Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.82 / $2,702.82 / $14,482.00	Facility		$811.82	$2,702.82	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.89 / $811.82 / $2,168.10	Professional		$691.89	$811.82	$2,168.10
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 $719.27 / $1,665.26 / $4,280.24	Professional		$719.27	$1,665.26	$4,280.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,903.17 / $2,224.00 / $3,411.67	Facility		$1,903.17	$2,224.00	$3,411.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $911.24 / $2,532.84 / $3,027.79	Professional		$911.24	$2,532.84	$3,027.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $741.42 / $990.70 / $2,183.94	Facility		$741.42	$990.70	$2,183.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $738.14 / $1,136.55 / $13,721.00	Facility		$738.14	$1,136.55	$13,721.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $798.41 / $1,701.54 / $8,379.35	Professional		$798.41	$1,701.54	$8,379.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $491.82 / $1,571.74	Professional		$63.88	$491.82	$1,571.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $736.09 / $990.70 / $2,198.64	Facility		$736.09	$990.70	$2,198.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,395.00 / $1,860.47 / $3,063.07	Professional		$1,395.00	$1,860.47	$3,063.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $873.68 / $13,486.75 / $13,486.75	Facility		$873.68	$13,486.75	$13,486.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,292.66 / $4,058.92 / $8,379.35	Professional		$1,292.66	$4,058.92	$8,379.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,698.90 / $2,698.90 / $2,698.90	Professional		$2,698.90	$2,698.90	$2,698.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,450.06 / $3,696.97 / $3,696.97	Professional		$2,450.06	$3,696.97	$3,696.97
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $12,373.00 / $15,903.00	Facility		$6,154.00	$12,373.00	$15,903.00
United Facility/Professional Professional Modifier Low / Median / High Price $780.15 / $1,453.28 / $3,244.40	Professional		$780.15	$1,453.28	$3,244.40