Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.55 / $1,471.45 / $14,482.00	Facility		$770.55	$1,471.45	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $721.46 / $770.55 / $2,384.44	Professional		$721.46	$770.55	$2,384.44
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 $702.81 / $1,865.94 / $4,040.29	Professional		$702.81	$1,865.94	$4,040.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,849.10 / $2,160.82 / $3,485.32	Facility		$1,849.10	$2,160.82	$3,485.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $974.42 / $2,234.61 / $2,960.70	Professional		$974.42	$2,234.61	$2,960.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $719.38 / $983.93 / $1,470.00	Facility		$719.38	$983.93	$1,470.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $770.55 / $5,266.00 / $14,978.00	Facility		$770.55	$5,266.00	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $810.58 / $1,713.50 / $3,778.01	Professional		$810.58	$1,713.50	$3,778.01
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 $770.55 / $1,024.84 / $1,470.00	Facility		$770.55	$1,024.84	$1,470.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,401.40 / $2,163.98 / $2,549.04	Professional		$1,401.40	$2,163.98	$2,549.04
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 $995.81 / $3,492.25 / $6,877.00	Professional		$995.81	$3,492.25	$6,877.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,952.72 / $1,952.72 / $1,952.72	Professional		$1,952.72	$1,952.72	$1,952.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,058.73 / $3,459.61 / $3,459.61	Professional		$2,058.73	$3,459.61	$3,459.61
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $745.61 / $2,134.36 / $3,313.67	Professional		$745.61	$2,134.36	$3,313.67