Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.90 / $8,243.00 / $14,482.00	Facility		$733.90	$8,243.00	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $366.95 / $745.65 / $1,328.92	Facility	52	$366.95	$745.65	$1,328.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.90 / $1,117.39 / $5,647.80	Professional		$733.90	$1,117.39	$5,647.80
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 $715.90 / $1,983.31 / $4,958.31	Professional		$715.90	$1,983.31	$4,958.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,871.63 / $2,187.14 / $3,527.78	Facility		$1,871.63	$2,187.14	$3,527.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $987.57 / $2,265.33 / $2,996.49	Professional		$987.57	$2,265.33	$2,996.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $733.52 / $1,002.26 / $3,906.49	Facility		$733.52	$1,002.26	$3,906.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $733.90 / $4,635.00 / $14,978.00	Facility		$733.90	$4,635.00	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $907.70 / $1,955.86 / $4,904.01	Professional		$907.70	$1,955.86	$4,904.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $596.79 / $1,524.39	Professional		$63.30	$596.79	$1,524.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $733.52 / $1,002.26 / $3,906.49	Facility		$733.52	$1,002.26	$3,906.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,420.90 / $2,194.09 / $2,953.50	Professional		$1,420.90	$2,194.09	$2,953.50
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 Facility Modifier 52 Low / Median / High Price $10,845.40 / $10,845.40 / $10,845.40	Facility	52	$10,845.40	$10,845.40	$10,845.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,009.51 / $3,770.80 / $5,421.36	Professional		$1,009.51	$3,770.80	$5,421.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,094.84 / $4,283.47 / $4,506.24	Professional		$3,094.84	$4,283.47	$4,506.24
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 $848.47 / $2,087.13 / $3,498.08	Professional		$848.47	$2,087.13	$3,498.08