Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.60 / $1,346.11 / $14,482.00	Facility		$704.60	$1,346.11	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $662.91 / $704.60 / $2,454.73	Professional		$662.91	$704.60	$2,454.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,838.00 / $18,458.00	Facility		$7,084.00	$11,838.00	$18,458.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.39 / $1,708.39 / $3,724.66	Professional		$645.39	$1,708.39	$3,724.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,690.50 / $1,975.48 / $3,186.39	Facility		$1,690.50	$1,975.48	$3,186.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.43 / $2,044.02 / $2,707.29	Professional		$891.43	$2,044.02	$2,707.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $658.10 / $903.55 / $1,314.49	Facility		$658.10	$903.55	$1,314.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $704.60 / $6,154.00 / $16,779.00	Facility		$704.60	$6,154.00	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $763.48 / $1,575.19 / $3,473.85	Professional		$763.48	$1,575.19	$3,473.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $541.06 / $1,424.85	Professional		$63.30	$541.06	$1,424.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $658.10 / $903.55 / $1,314.49	Facility		$658.10	$903.55	$1,314.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,282.45 / $1,980.30 / $2,332.67	Professional		$1,282.45	$1,980.30	$2,332.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,223.75 / $16,223.75 / $16,223.75	Facility		$16,223.75	$16,223.75	$16,223.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $910.88 / $3,201.70 / $4,888.96	Professional		$910.88	$3,201.70	$4,888.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,787.02 / $1,787.02 / $1,787.02	Professional		$1,787.02	$1,787.02	$1,787.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,883.35 / $3,164.54 / $3,164.54	Professional		$1,883.35	$3,164.54	$3,164.54
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $12,373.00 / $15,903.00	Facility		$7,984.00	$12,373.00	$15,903.00
United Facility/Professional Professional Modifier Low / Median / High Price $763.48 / $1,961.11 / $3,046.90	Professional		$763.48	$1,961.11	$3,046.90