Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.99 / $8,243.00 / $14,482.00	Facility		$586.99	$8,243.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.94 / $586.99 / $706.15	Professional		$568.94	$586.99	$706.15
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 $535.14 / $1,444.61 / $3,113.45	Professional		$535.14	$1,444.61	$3,113.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,189.96 / $3,727.73 / $6,012.69	Facility		$3,189.96	$3,727.73	$6,012.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.44 / $2,194.51 / $4,282.66	Professional		$743.44	$2,194.51	$4,282.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $586.99 / $817.00 / $1,411.13	Facility		$586.99	$817.00	$1,411.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $686.78 / $6,073.00 / $12,216.00	Facility		$686.78	$6,073.00	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $789.86 / $2,033.58 / $3,531.08	Professional		$789.86	$2,033.58	$3,531.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $213.71 / $2,023.36	Professional		$55.00	$213.71	$2,023.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $586.99 / $817.00 / $1,411.13	Facility		$586.99	$817.00	$1,411.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.55 / $1,687.00 / $1,915.76	Professional		$1,096.55	$1,687.00	$1,915.76
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 $759.50 / $2,662.75 / $5,976.81	Professional		$759.50	$2,662.75	$5,976.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,897.61 / $1,897.61 / $1,897.61	Professional		$1,897.61	$1,897.61	$1,897.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,094.17 / $3,453.92 / $3,453.92	Professional		$2,094.17	$3,453.92	$3,453.92
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $759.90 / $1,970.97 / $3,095.77	Professional		$759.90	$1,970.97	$3,095.77