Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.35 / $1,615.34 / $14,482.00	Facility		$846.35	$1,615.34	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.43 / $846.35 / $2,623.00	Professional		$793.43	$846.35	$2,623.00
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 $773.57 / $1,954.35 / $4,528.93	Professional		$773.57	$1,954.35	$4,528.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,028.42 / $2,370.37 / $3,823.32	Facility		$2,028.42	$2,370.37	$3,823.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,069.72 / $2,453.23 / $3,247.03	Professional		$1,069.72	$2,453.23	$3,247.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $789.72 / $990.23 / $1,543.55	Facility		$789.72	$990.23	$1,543.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $846.35 / $4,103.00 / $8,783.00	Facility		$846.35	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $911.53 / $1,887.42 / $4,156.92	Professional		$911.53	$1,887.42	$4,156.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $658.60 / $1,711.38	Professional		$63.30	$658.60	$1,711.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $789.72 / $990.23 / $1,543.55	Facility		$789.72	$990.23	$1,543.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,539.20 / $2,376.76 / $2,799.69	Professional		$1,539.20	$2,376.76	$2,799.69
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 $1,093.24 / $3,842.90 / $5,867.44	Professional		$1,093.24	$3,842.90	$5,867.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,146.31 / $2,146.31 / $2,146.31	Professional		$2,146.31	$2,146.31	$2,146.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,260.04 / $3,798.08 / $3,798.08	Professional		$2,260.04	$3,798.08	$3,798.08
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $916.49 / $2,554.53 / $3,646.01	Professional		$916.49	$2,554.53	$3,646.01