Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.69 / $1,577.11 / $14,482.00	Facility		$829.69	$1,577.11	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.05 / $829.69 / $2,461.57	Professional		$674.05	$829.69	$2,461.57
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 $734.92 / $2,004.86 / $4,210.29	Professional		$734.92	$2,004.86	$4,210.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,989.67 / $2,325.09 / $3,750.29	Facility		$1,989.67	$2,325.09	$3,750.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.56 / $2,272.94 / $3,176.88	Professional		$1,156.56	$2,272.94	$3,176.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $771.03 / $932.56 / $1,512.66	Facility		$771.03	$932.56	$1,512.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $829.69 / $4,240.00 / $12,631.00	Facility		$829.69	$4,240.00	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $853.62 / $1,848.50 / $3,636.79	Professional		$853.62	$1,848.50	$3,636.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $597.60 / $1,537.47	Professional		$85.00	$597.60	$1,537.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $771.03 / $932.56 / $1,512.66	Facility		$771.03	$932.56	$1,512.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,500.85 / $2,309.00 / $2,729.93	Professional		$1,500.85	$2,309.00	$2,729.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,298.90 / $16,298.90 / $16,298.90	Facility		$16,298.90	$16,298.90	$16,298.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,185.31 / $3,697.00 / $5,806.93	Professional		$1,185.31	$3,697.00	$5,806.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,897.33 / $1,897.33 / $1,897.33	Professional		$1,897.33	$1,897.33	$1,897.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,893.24 / $4,152.22 / $4,152.22	Professional		$1,893.24	$4,152.22	$4,152.22
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $836.80 / $2,233.17 / $3,240.42	Professional		$836.80	$2,233.17	$3,240.42