Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.92 / $1,412.64 / $14,482.00	Facility		$739.92	$1,412.64	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.01 / $739.92 / $2,289.42	Professional		$687.01	$739.92	$2,289.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $674.82 / $1,719.30 / $4,029.56	Professional		$674.82	$1,719.30	$4,029.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,775.21 / $2,074.46 / $3,346.05	Facility		$1,775.21	$2,074.46	$3,346.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $935.49 / $2,145.76 / $2,841.87	Professional		$935.49	$2,145.76	$2,841.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $690.62 / $944.75 / $1,380.41	Facility		$690.62	$944.75	$1,380.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $739.92 / $4,103.00 / $8,384.00	Facility		$739.92	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $793.63 / $1,645.60 / $3,627.22	Professional		$793.63	$1,645.60	$3,627.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $552.25 / $1,424.85	Professional		$63.30	$552.25	$1,424.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $739.92 / $944.75 / $1,380.41	Facility		$739.92	$944.75	$1,380.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,345.50 / $2,077.66 / $2,447.36	Professional		$1,345.50	$2,077.66	$2,447.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,625.83 / $5,625.83 / $5,625.83	Facility		$5,625.83	$5,625.83	$5,625.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $956.22 / $3,352.70 / $5,129.60	Professional		$956.22	$3,352.70	$5,129.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,874.74 / $1,874.74 / $1,874.74	Professional		$1,874.74	$1,874.74	$1,874.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,976.44 / $3,322.10 / $3,322.10	Professional		$1,976.44	$3,322.10	$3,322.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $793.63 / $2,223.53 / $3,355.92	Professional		$793.63	$2,223.53	$3,355.92