Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.39 / $1,640.88 / $14,482.00	Facility		$873.39	$1,640.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.97 / $873.39 / $1,640.88	Professional		$711.97	$873.39	$1,640.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.37 / $2,115.90 / $4,432.78	Professional		$779.37	$2,115.90	$4,432.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,075.28 / $2,425.13 / $3,911.65	Facility		$2,075.28	$2,425.13	$3,911.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,203.31 / $2,493.90 / $3,295.71	Professional		$1,203.31	$2,493.90	$3,295.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $802.21 / $875.14 / $1,567.95	Facility		$802.21	$875.14	$1,567.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $873.39 / $8,791.00 / $17,200.00	Facility		$873.39	$8,791.00	$17,200.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $905.83 / $1,967.30 / $3,654.30	Professional		$905.83	$1,967.30	$3,654.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $629.78 / $1,658.40	Professional		$85.00	$629.78	$1,658.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $802.21 / $875.14 / $1,567.95	Facility		$802.21	$875.14	$1,567.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,590.55 / $2,456.05 / $2,893.09	Professional		$1,590.55	$2,456.05	$2,893.09
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 $1,239.03 / $3,934.60 / $6,029.68	Professional		$1,239.03	$3,934.60	$6,029.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,992.86 / $1,992.86 / $1,992.86	Professional		$1,992.86	$1,992.86	$1,992.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,340.42 / $4,340.42 / $4,340.42	Professional		$4,340.42	$4,340.42	$4,340.42
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 $834.32 / $2,366.63 / $3,448.68	Professional		$834.32	$2,366.63	$3,448.68