Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.23 / $1,604.41 / $14,482.00	Facility		$856.23	$1,604.41	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.11 / $856.23 / $2,429.31	Professional		$694.11	$856.23	$2,429.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $15,055.00 / $22,609.00	Facility		$8,139.00	$15,055.00	$22,609.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $744.55 / $2,060.82 / $4,250.14	Professional		$744.55	$2,060.82	$4,250.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,043.74 / $2,388.27 / $3,852.20	Facility		$2,043.74	$2,388.27	$3,852.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,176.57 / $2,330.92 / $3,232.71	Professional		$1,176.57	$2,330.92	$3,232.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $784.38 / $963.87 / $1,533.10	Facility		$784.38	$963.87	$1,533.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $855.68 / $4,240.00 / $12,631.00	Facility		$855.68	$4,240.00	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $852.58 / $1,885.10 / $3,753.13	Professional		$852.58	$1,885.10	$3,753.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $640.46 / $1,670.79	Professional		$85.00	$640.46	$1,670.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $791.85 / $963.87 / $1,533.10	Facility		$791.85	$963.87	$1,533.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,550.90 / $2,341.96 / $2,820.97	Professional		$1,550.90	$2,341.96	$2,820.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,704.40 / $17,704.40 / $17,704.40	Facility		$17,704.40	$17,704.40	$17,704.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,215.55 / $3,770.20 / $5,898.64	Professional		$1,215.55	$3,770.20	$5,898.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,957.42 / $1,957.42 / $1,957.42	Professional		$1,957.42	$1,957.42	$1,957.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,936.31 / $4,258.16 / $4,258.16	Professional		$1,936.31	$4,258.16	$4,258.16
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $817.43 / $1,885.10 / $3,304.58	Professional		$817.43	$1,885.10	$3,304.58