Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.77 / $1,465.83 / $14,482.00	Facility		$766.77	$1,465.83	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.02 / $766.77 / $2,612.42	Professional		$719.02	$766.77	$2,612.42
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 $698.97 / $1,765.86 / $4,066.18	Professional		$698.97	$1,765.86	$4,066.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,844.59 / $2,155.55 / $3,476.83	Facility		$1,844.59	$2,155.55	$3,476.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.70 / $2,226.38 / $2,950.67	Professional		$970.70	$2,226.38	$2,950.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $716.63 / $978.56 / $1,433.30	Facility		$716.63	$978.56	$1,433.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $766.77 / $4,240.00 / $11,598.00	Facility		$766.77	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $807.24 / $1,703.55 / $3,759.97	Professional		$807.24	$1,703.55	$3,759.97
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 $716.63 / $978.56 / $1,433.30	Facility		$716.63	$978.56	$1,433.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,395.55 / $2,154.94 / $2,538.40	Professional		$1,395.55	$2,154.94	$2,538.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,558.29 / $9,558.29 / $9,558.29	Facility		$9,558.29	$9,558.29	$9,558.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $992.15 / $3,472.45 / $5,320.08	Professional		$992.15	$3,472.45	$5,320.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,942.02 / $1,942.02 / $1,942.02	Professional		$1,942.02	$1,942.02	$1,942.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,229.05 / $3,446.87 / $3,446.87	Professional		$2,229.05	$3,446.87	$3,446.87
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 $807.24 / $1,995.01 / $3,297.85	Professional		$807.24	$1,995.01	$3,297.85