Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.56 / $1,450.13 / $14,482.00	Facility		$740.56	$1,450.13	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.42 / $761.28 / $2,452.04	Professional		$697.42	$761.28	$2,452.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,705.54 / $18,141.00	Facility		$6,538.00	$10,705.54	$18,141.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $708.69 / $1,876.43 / $4,802.91	Professional		$708.69	$1,876.43	$4,802.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,822.97 / $2,130.28 / $3,436.07	Facility		$1,822.97	$2,130.28	$3,436.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $960.31 / $2,202.04 / $2,919.18	Professional		$960.31	$2,202.04	$2,919.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $708.95 / $992.17 / $1,570.00	Facility		$708.95	$992.17	$1,570.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $740.56 / $1,716.00 / $7,700.00	Facility		$740.56	$1,716.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $833.56 / $1,925.22 / $4,841.89	Professional		$833.56	$1,925.22	$4,841.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $573.66 / $1,447.84	Professional		$63.30	$573.66	$1,447.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $740.56 / $1,006.04 / $1,570.00	Facility		$740.56	$1,006.04	$1,570.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,379.95 / $2,130.86 / $2,916.11	Professional		$1,379.95	$2,130.86	$2,916.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,598.08 / $6,598.08 / $6,598.08	Facility		$6,598.08	$6,598.08	$6,598.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $981.31 / $3,526.25 / $5,940.68	Professional		$981.31	$3,526.25	$5,940.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,597.88 / $3,597.88 / $3,597.88	Professional		$3,597.88	$3,597.88	$3,597.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,492.11 / $4,163.85 / $4,163.85	Professional		$3,492.11	$4,163.85	$4,163.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $833.56 / $2,066.11 / $3,529.90	Professional		$833.56	$2,066.11	$3,529.90