Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.13 / $5,112.80 / $16,666.40	Facility		$637.13	$5,112.80	$16,666.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.63 / $637.13 / $2,326.59	Professional		$508.63	$637.13	$2,326.59
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 $526.23 / $1,500.01 / $3,086.86	Professional		$526.23	$1,500.01	$3,086.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,545.42 / $1,805.95 / $2,912.93	Facility		$1,545.42	$1,805.95	$2,912.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.95 / $1,745.50 / $2,443.86	Professional		$880.95	$1,745.50	$2,443.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $587.29 / $711.59 / $2,482.61	Facility		$587.29	$711.59	$2,482.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $637.13 / $2,482.61 / $8,384.00	Facility		$637.13	$2,482.61	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.60 / $1,331.00 / $2,792.70	Professional		$588.60	$1,331.00	$2,792.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $474.74 / $1,236.60	Professional		$63.30	$474.74	$1,236.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $587.29 / $711.59 / $2,482.61	Facility		$587.29	$711.59	$2,482.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,153.09 / $1,600.80 / $2,097.40	Professional		$1,153.09	$1,600.80	$2,097.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,496.40 / $9,496.40 / $9,496.40	Facility		$9,496.40	$9,496.40	$9,496.40
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $900.13 / $900.13 / $900.13	Facility	AS	$900.13	$900.13	$900.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $910.26 / $2,662.00 / $4,381.43	Professional		$910.26	$2,662.00	$4,381.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.58 / $3,188.73 / $3,188.73	Professional		$1,348.58	$3,188.73	$3,188.73
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 $588.60 / $1,566.64 / $2,323.76	Professional		$588.60	$1,566.64	$2,323.76