Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $709.85 / $1,436.56 / $14,482.00	Facility		$709.85	$1,436.56	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.70 / $728.85 / $2,373.57	Professional		$663.70	$728.85	$2,373.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $701.02 / $1,798.62 / $4,808.37	Professional		$701.02	$1,798.62	$4,808.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,794.13 / $2,096.58 / $3,381.71	Facility		$1,794.13	$2,096.58	$3,381.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $951.32 / $2,181.94 / $2,871.93	Professional		$951.32	$2,181.94	$2,871.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $709.85 / $928.51 / $3,204.97	Facility		$709.85	$928.51	$3,204.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $709.85 / $3,204.97 / $14,978.00	Facility		$709.85	$3,204.97	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $833.28 / $1,914.44 / $4,805.37	Professional		$833.28	$1,914.44	$4,805.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $959.63 / $1,644.49	Professional		$85.00	$959.63	$1,644.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $709.85 / $928.51 / $3,204.97	Facility		$709.85	$928.51	$3,204.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,372.15 / $2,118.81 / $2,894.09	Professional		$1,372.15	$2,118.81	$2,894.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,302.50 / $14,302.50 / $14,302.50	Facility		$14,302.50	$14,302.50	$14,302.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $972.34 / $3,480.80 / $5,240.88	Professional		$972.34	$3,480.80	$5,240.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,602.00 / $3,602.00 / $3,602.00	Professional		$3,602.00	$3,602.00	$3,602.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,389.38 / $4,125.81 / $4,125.81	Professional		$3,389.38	$4,125.81	$4,125.81
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $833.28 / $2,309.86 / $3,383.49	Professional		$833.28	$2,309.86	$3,383.49