Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.66 / $1,443.53 / $14,482.00	Facility		$755.66	$1,443.53	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.12 / $755.66 / $2,350.42	Professional		$711.12	$755.66	$2,350.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $8,456.00	Facility		$2,740.00	$4,780.00	$8,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.73 / $1,839.62 / $3,976.26	Professional		$691.73	$1,839.62	$3,976.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,814.86 / $2,120.80 / $3,420.78	Facility		$1,814.86	$2,120.80	$3,420.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $955.94 / $2,192.30 / $2,903.43	Professional		$955.94	$2,192.30	$2,903.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $705.73 / $968.42 / $1,410.49	Facility		$705.73	$968.42	$1,410.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $755.66 / $4,240.00 / $11,598.00	Facility		$755.66	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $818.76 / $1,686.18 / $3,722.97	Professional		$818.76	$1,686.18	$3,722.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $581.39 / $1,490.18	Professional		$63.30	$581.39	$1,490.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $755.66 / $968.42 / $1,410.49	Facility		$755.66	$968.42	$1,410.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,374.75 / $2,122.83 / $2,500.56	Professional		$1,374.75	$2,122.83	$2,500.56
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 $976.96 / $3,434.80 / $6,017.00	Professional		$976.96	$3,434.80	$6,017.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,916.55 / $1,916.55 / $1,916.55	Professional		$1,916.55	$1,916.55	$1,916.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,019.66 / $3,394.14 / $3,394.14	Professional		$2,019.66	$3,394.14	$3,394.14
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 $799.01 / $1,975.65 / $3,265.40	Professional		$799.01	$1,975.65	$3,265.40