Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.77 / $1,466.17 / $14,482.00	Facility		$720.77	$1,466.17	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.52 / $734.48 / $2,376.15	Professional		$677.52	$734.48	$2,376.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,152.00	Facility		$5,060.00	$7,979.00	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $700.53 / $1,858.90 / $4,865.17	Professional		$700.53	$1,858.90	$4,865.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,842.79 / $2,153.44 / $3,473.43	Facility		$1,842.79	$2,153.44	$3,473.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.93 / $2,226.54 / $2,949.24	Professional		$970.93	$2,226.54	$2,949.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $716.79 / $950.93 / $1,805.50	Facility		$716.79	$950.93	$1,805.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $720.77 / $2,469.50 / $8,384.00	Facility		$720.77	$2,469.50	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $820.01 / $1,913.92 / $4,797.51	Professional		$820.01	$1,913.92	$4,797.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $589.54 / $1,536.78	Professional		$63.30	$589.54	$1,536.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $720.15 / $980.74 / $1,805.50	Facility		$720.15	$980.74	$1,805.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,396.20 / $2,155.94 / $2,889.37	Professional		$1,396.20	$2,155.94	$2,889.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,836.81 / $5,836.81 / $5,836.81	Facility		$5,836.81	$5,836.81	$5,836.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $992.22 / $3,479.85 / $6,197.00	Professional		$992.22	$3,479.85	$6,197.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,644.51 / $3,644.51 / $3,644.51	Professional		$3,644.51	$3,644.51	$3,644.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,393.06 / $4,210.14 / $4,210.14	Professional		$3,393.06	$4,210.14	$4,210.14
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $807.76 / $2,042.33 / $3,435.54	Professional		$807.76	$2,042.33	$3,435.54