Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.23 / $1,464.80 / $14,482.00	Facility		$766.23	$1,464.80	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.61 / $766.23 / $2,349.04	Professional		$728.61	$766.23	$2,349.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $698.47 / $1,838.48 / $4,016.97	Professional		$698.47	$1,838.48	$4,016.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,840.99 / $2,151.34 / $3,470.04	Facility		$1,840.99	$2,151.34	$3,470.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.02 / $2,223.36 / $2,947.81	Professional		$970.02	$2,223.36	$2,947.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $716.12 / $926.30 / $1,399.69	Facility		$716.12	$926.30	$1,399.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $766.23 / $4,240.00 / $11,598.00	Facility		$766.23	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $798.54 / $1,702.73 / $3,756.58	Professional		$798.54	$1,702.73	$3,756.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $589.15 / $1,528.03	Professional		$63.30	$589.15	$1,528.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $716.12 / $926.30 / $1,399.69	Facility		$716.12	$926.30	$1,399.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,394.90 / $2,153.94 / $2,537.21	Professional		$1,394.90	$2,153.94	$2,537.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $9,388.90 / $9,388.90	Facility		$9,388.90	$9,388.90	$9,388.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $990.81 / $3,471.10 / $5,313.52	Professional		$990.81	$3,471.10	$5,313.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,940.34 / $1,940.34 / $1,940.34	Professional		$1,940.34	$1,940.34	$1,940.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,049.41 / $3,442.24 / $3,442.24	Professional		$2,049.41	$3,442.24	$3,442.24
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $764.87 / $2,008.39 / $3,294.88	Professional		$764.87	$2,008.39	$3,294.88