Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.60 / $1,597.09 / $14,482.00	Facility		$850.60	$1,597.09	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.44 / $850.60 / $2,707.65	Professional		$693.44	$850.60	$2,707.65
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 $761.19 / $2,058.23 / $4,216.84	Professional		$761.19	$2,058.23	$4,216.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,018.51 / $2,358.79 / $3,804.64	Facility		$2,018.51	$2,358.79	$3,804.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,171.20 / $2,428.14 / $3,204.08	Professional		$1,171.20	$2,428.14	$3,204.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $794.82 / $961.44 / $2,878.52	Facility		$794.82	$961.44	$2,878.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $850.60 / $2,878.52 / $16,779.00	Facility		$850.60	$2,878.52	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $919.86 / $1,922.30 / $3,733.79	Professional		$919.86	$1,922.30	$3,733.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $658.60 / $1,674.21	Professional		$63.30	$658.60	$1,674.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $794.82 / $961.44 / $2,878.52	Facility		$794.82	$961.44	$2,878.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,548.95 / $2,391.82 / $2,817.42	Professional		$1,548.95	$2,391.82	$2,817.42
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 $1,206.33 / $3,844.60 / $6,544.97	Professional		$1,206.33	$3,844.60	$6,544.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,942.06 / $1,942.06 / $1,942.06	Professional		$1,942.06	$1,942.06	$1,942.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,917.22 / $4,225.89 / $4,225.89	Professional		$1,917.22	$4,225.89	$4,225.89
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $12,373.00 / $15,090.00	Facility		$7,984.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $903.69 / $2,313.94 / $3,369.79	Professional		$903.69	$2,313.94	$3,369.79