Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $830.50 / $1,547.03 / $14,482.00	Facility		$830.50	$1,547.03	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.06 / $830.50 / $1,547.03	Professional		$690.06	$830.50	$1,547.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,370.00 / $6,491.46	Facility		$2,740.00	$4,370.00	$6,491.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $728.41 / $1,703.59 / $4,385.07	Professional		$728.41	$1,703.59	$4,385.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,941.91 / $2,269.28 / $3,481.13	Facility		$1,941.91	$2,269.28	$3,481.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $859.00 / $2,591.28 / $3,091.49	Professional		$859.00	$2,591.28	$3,091.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $722.20 / $880.09 / $1,509.06	Facility		$722.20	$880.09	$1,509.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $723.96 / $1,019.77 / $4,821.00	Facility		$723.96	$1,019.77	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $792.25 / $1,740.80 / $5,682.16	Professional		$792.25	$1,740.80	$5,682.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $694.70 / $1,650.09	Professional		$65.00	$694.70	$1,650.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $705.93 / $880.09 / $1,509.06	Facility		$705.93	$880.09	$1,509.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,424.40 / $1,899.67 / $3,127.50	Professional		$1,424.40	$1,899.67	$3,127.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $893.51 / $6,352.50 / $6,352.50	Facility		$893.51	$6,352.50	$6,352.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,323.08 / $3,677.85 / $5,682.16	Professional		$1,323.08	$3,677.85	$5,682.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,765.00 / $2,765.00 / $2,765.00	Professional		$2,765.00	$2,765.00	$2,765.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,815.85 / $3,774.72 / $3,774.72	Professional		$1,815.85	$3,774.72	$3,774.72
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 $794.95 / $1,610.90 / $3,332.13	Professional		$794.95	$1,610.90	$3,332.13