Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.36 / $1,599.30 / $14,482.00	Facility		$852.36	$1,599.30	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.24 / $852.36 / $2,644.25	Professional		$693.24	$852.36	$2,644.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $11,015.00 / $15,810.00	Facility		$6,538.00	$11,015.00	$15,810.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $747.02 / $2,069.28 / $4,328.50	Professional		$747.02	$2,069.28	$4,328.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,028.42 / $2,370.37 / $3,823.32	Facility		$2,028.42	$2,370.37	$3,823.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.82 / $2,318.44 / $3,216.96	Professional		$1,172.82	$2,318.44	$3,216.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $781.88 / $961.15 / $1,536.99	Facility		$781.88	$961.15	$1,536.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $852.36 / $1,716.00 / $7,700.00	Facility		$852.36	$1,716.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $898.90 / $1,899.10 / $3,736.19	Professional		$898.90	$1,899.10	$3,736.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $612.41 / $1,604.05	Professional		$85.00	$612.41	$1,604.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $791.79 / $961.15 / $1,536.99	Facility		$791.79	$961.15	$1,536.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,548.95 / $2,383.00 / $2,817.42	Professional		$1,548.95	$2,383.00	$2,817.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,491.10 / $6,491.10 / $6,491.10	Facility		$6,491.10	$6,491.10	$6,491.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,209.04 / $3,798.20 / $5,876.16	Professional		$1,209.04	$3,798.20	$5,876.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,945.99 / $1,945.99 / $1,945.99	Professional		$1,945.99	$1,945.99	$1,945.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,929.88 / $4,235.35 / $4,235.35	Professional		$1,929.88	$4,235.35	$4,235.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $861.85 / $2,272.56 / $3,329.12	Professional		$861.85	$2,272.56	$3,329.12