Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.88 / $1,471.97 / $14,482.00	Facility		$783.88	$1,471.97	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.03 / $783.88 / $2,491.58	Professional		$639.03	$783.88	$2,491.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,838.00 / $18,458.00	Facility		$7,084.00	$11,838.00	$18,458.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $700.96 / $1,896.18 / $3,889.01	Professional		$700.96	$1,896.18	$3,889.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,859.91 / $2,173.44 / $3,505.70	Facility		$1,859.91	$2,173.44	$3,505.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,079.44 / $2,237.37 / $2,953.54	Professional		$1,079.44	$2,237.37	$2,953.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $719.63 / $885.92 / $1,438.50	Facility		$719.63	$885.92	$1,438.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $783.88 / $6,154.00 / $16,779.00	Facility		$783.88	$6,154.00	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $846.80 / $1,769.75 / $3,435.96	Professional		$846.80	$1,769.75	$3,435.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $606.49 / $1,563.91	Professional		$63.30	$606.49	$1,563.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $719.63 / $885.92 / $1,438.50	Facility		$719.63	$885.92	$1,438.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,427.40 / $2,204.13 / $2,596.33	Professional		$1,427.40	$2,204.13	$2,596.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,223.75 / $16,223.75 / $16,223.75	Facility		$16,223.75	$16,223.75	$16,223.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,111.57 / $3,539.50 / $7,167.45	Professional		$1,111.57	$3,539.50	$7,167.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,791.08 / $1,791.08 / $1,791.08	Professional		$1,791.08	$1,791.08	$1,791.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,767.02 / $3,893.91 / $3,893.91	Professional		$1,767.02	$3,893.91	$3,893.91
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $810.55 / $2,080.44 / $3,102.37	Professional		$810.55	$2,080.44	$3,102.37