Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.75 / $1,613.36 / $14,482.00	Facility		$860.75	$1,613.36	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.15 / $860.75 / $2,711.11	Professional		$699.15	$860.75	$2,711.11
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 $755.83 / $2,120.96 / $4,370.24	Professional		$755.83	$2,120.96	$4,370.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,046.44 / $2,391.42 / $3,857.29	Facility		$2,046.44	$2,391.42	$3,857.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,183.14 / $2,339.52 / $3,245.60	Professional		$1,183.14	$2,339.52	$3,245.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $788.76 / $926.30 / $1,541.66	Facility		$788.76	$926.30	$1,541.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $860.46 / $1,716.00 / $7,700.00	Facility		$860.46	$1,716.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $916.72 / $1,918.55 / $3,772.94	Professional		$916.72	$1,918.55	$3,772.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $633.36 / $1,635.37	Professional		$85.00	$633.36	$1,635.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $800.82 / $926.30 / $1,541.66	Facility		$800.82	$926.30	$1,541.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,561.95 / $2,403.00 / $2,841.07	Professional		$1,561.95	$2,403.00	$2,841.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,550.67 / $6,550.67 / $6,550.67	Facility		$6,550.67	$6,550.67	$6,550.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,220.02 / $3,837.10 / $5,930.64	Professional		$1,220.02	$3,837.10	$5,930.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,964.75 / $1,964.75 / $1,964.75	Professional		$1,964.75	$1,964.75	$1,964.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,936.75 / $4,273.85 / $4,273.85	Professional		$1,936.75	$4,273.85	$4,273.85
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 $864.57 / $2,127.73 / $3,363.22	Professional		$864.57	$2,127.73	$3,363.22