Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.44 / $1,701.32 / $14,482.00	Facility		$906.44	$1,701.32	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.59 / $906.44 / $3,325.47	Professional		$737.59	$906.44	$3,325.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $796.97 / $2,307.00 / $4,588.14	Professional		$796.97	$2,307.00	$4,588.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,155.48 / $2,518.85 / $4,062.81	Facility		$2,155.48	$2,518.85	$4,062.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,247.63 / $2,588.59 / $3,418.83	Professional		$1,247.63	$2,588.59	$3,418.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $831.75 / $907.37 / $1,625.70	Facility		$831.75	$907.37	$1,625.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $906.44 / $8,791.00 / $17,200.00	Facility		$906.44	$8,791.00	$17,200.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $967.33 / $2,023.58 / $3,758.83	Professional		$967.33	$2,023.58	$3,758.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $655.05 / $1,712.75	Professional		$85.00	$655.05	$1,712.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $831.75 / $907.37 / $1,625.70	Facility		$831.75	$907.37	$1,625.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,647.75 / $2,535.00 / $2,997.13	Professional		$1,647.75	$2,535.00	$2,997.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,770.10 / $27,770.10 / $27,770.10	Facility		$27,770.10	$27,770.10	$27,770.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,286.05 / $4,089.82 / $8,470.17	Professional		$1,286.05	$4,089.82	$8,470.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,069.92 / $2,069.92 / $2,069.92	Professional		$2,069.92	$2,069.92	$2,069.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,158.05 / $4,505.13 / $4,505.13	Professional		$2,158.05	$4,505.13	$4,505.13
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $13,752.00 / $17,450.00	Facility		$8,627.00	$13,752.00	$17,450.00
United Facility/Professional Professional Modifier Low / Median / High Price $967.33 / $2,421.60 / $3,547.33	Professional		$967.33	$2,421.60	$3,547.33