Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.88 / $2,820.63 / $14,482.00	Facility		$847.88	$2,820.63	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.16 / $847.88 / $1,892.65	Professional		$705.16	$847.88	$1,892.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,290.00 / $18,458.00	Facility		$7,084.00	$11,290.00	$18,458.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $747.22 / $1,739.23 / $4,471.34	Professional		$747.22	$1,739.23	$4,471.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,987.87 / $2,322.98 / $3,563.52	Facility		$1,987.87	$2,322.98	$3,563.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $878.50 / $2,636.46 / $3,160.81	Professional		$878.50	$2,636.46	$3,160.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $750.25 / $944.10 / $1,545.79	Facility		$750.25	$944.10	$1,545.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $767.47 / $1,046.10 / $10,843.00	Facility		$767.47	$1,046.10	$10,843.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $808.94 / $1,771.16 / $7,231.97	Professional		$808.94	$1,771.16	$7,231.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $725.82 / $1,742.32	Professional		$65.00	$725.82	$1,742.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $750.25 / $944.10 / $1,545.79	Facility		$750.25	$944.10	$1,545.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,454.40 / $1,939.68 / $3,197.64	Professional		$1,454.40	$1,939.68	$3,197.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $910.46 / $13,486.75 / $13,486.75	Facility		$910.46	$13,486.75	$13,486.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,345.42 / $3,742.00 / $7,231.97	Professional		$1,345.42	$3,742.00	$7,231.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,819.39 / $2,819.39 / $2,819.39	Professional		$2,819.39	$2,819.39	$2,819.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,831.64 / $3,859.35 / $3,859.35	Professional		$1,831.64	$3,859.35	$3,859.35
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,953.00 / $12,062.00	Facility		$6,241.00	$9,953.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $806.73 / $1,639.00 / $3,377.16	Professional		$806.73	$1,639.00	$3,377.16