Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.53 / $1,230.50 / $14,482.00	Facility		$642.53	$1,230.50	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.13 / $642.53 / $1,982.77	Professional		$606.13	$642.53	$1,982.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $583.70 / $1,555.11 / $3,584.06	Professional		$583.70	$1,555.11	$3,584.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,549.93 / $1,811.21 / $2,921.42	Facility		$1,549.93	$1,811.21	$2,921.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.87 / $1,867.91 / $2,481.09	Professional		$814.87	$1,867.91	$2,481.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $601.58 / $817.18 / $1,256.00	Facility		$601.58	$817.18	$1,256.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $642.53 / $4,103.00 / $8,783.00	Facility		$642.53	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $674.03 / $1,422.81 / $3,135.92	Professional		$674.03	$1,422.81	$3,135.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $487.55 / $1,285.17	Professional		$63.30	$487.55	$1,285.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $642.53 / $857.01 / $1,256.00	Facility		$642.53	$857.01	$1,256.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,171.30 / $1,808.67 / $2,130.50	Professional		$1,171.30	$1,808.67	$2,130.50
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 $832.40 / $2,897.50 / $4,458.16	Professional		$832.40	$2,897.50	$4,458.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,625.43 / $1,625.43 / $1,625.43	Professional		$1,625.43	$1,625.43	$1,625.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,777.79 / $2,891.90 / $2,891.90	Professional		$1,777.79	$2,891.90	$2,891.90
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 $674.03 / $1,701.72 / $2,900.28	Professional		$674.03	$1,701.72	$2,900.28