Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.07 / $2,728.56 / $14,482.00	Facility		$821.07	$2,728.56	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.04 / $821.07 / $2,202.03	Professional		$699.04	$821.07	$2,202.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,126.00 / $22,370.00	Facility		$7,084.00	$12,126.00	$22,370.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $728.65 / $1,684.24 / $4,333.32	Professional		$728.65	$1,684.24	$4,333.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,919.39 / $2,242.94 / $3,440.75	Facility		$1,919.39	$2,242.94	$3,440.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $923.95 / $2,564.34 / $3,057.79	Professional		$923.95	$2,564.34	$3,057.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $744.56 / $997.48 / $1,606.00	Facility		$744.56	$997.48	$1,606.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $744.56 / $1,109.16 / $4,821.00	Facility		$744.56	$1,109.16	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $813.19 / $1,724.28 / $5,623.04	Professional		$813.19	$1,724.28	$5,623.04
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 $744.56 / $997.48 / $1,606.00	Facility		$744.56	$997.48	$1,606.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,410.60 / $1,881.27 / $3,093.42	Professional		$1,410.60	$1,881.27	$3,093.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $885.05 / $7,184.56 / $7,184.56	Facility		$885.05	$7,184.56	$7,184.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,311.67 / $3,705.97 / $5,623.04	Professional		$1,311.67	$3,705.97	$5,623.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,732.35 / $2,732.35 / $2,732.35	Professional		$2,732.35	$2,732.35	$2,732.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,473.40 / $3,733.55 / $3,733.55	Professional		$2,473.40	$3,733.55	$3,733.55
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 $791.70 / $1,595.61 / $3,774.61	Professional		$791.70	$1,595.61	$3,774.61