Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $883.71 / $1,657.10 / $14,482.00	Facility		$883.71	$1,657.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.35 / $883.71 / $2,745.67	Professional		$718.35	$883.71	$2,745.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,082.00 / $15,579.70	Facility		$6,538.00	$10,082.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $777.16 / $2,128.91 / $4,382.04	Professional		$777.16	$2,128.91	$4,382.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,101.41 / $2,455.67 / $3,960.90	Facility		$2,101.41	$2,455.67	$3,960.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,215.21 / $2,402.81 / $3,331.50	Professional		$1,215.21	$2,402.81	$3,331.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $810.14 / $996.90 / $2,307.90	Facility		$810.14	$996.90	$2,307.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $883.71 / $3,360.50 / $11,598.00	Facility		$883.71	$3,360.50	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.37 / $1,972.90 / $3,873.60	Professional		$933.37	$1,972.90	$3,873.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $639.65 / $1,680.06	Professional		$85.00	$639.65	$1,680.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $821.50 / $996.90 / $2,307.90	Facility		$821.50	$996.90	$2,307.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,604.85 / $2,469.00 / $2,919.10	Professional		$1,604.85	$2,469.00	$2,919.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,729.38 / $6,729.38 / $6,729.38	Facility		$6,729.38	$6,729.38	$6,729.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,253.02 / $3,945.80 / $7,017.19	Professional		$1,253.02	$3,945.80	$7,017.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,018.15 / $2,018.15 / $2,018.15	Professional		$2,018.15	$2,018.15	$2,018.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,106.13 / $4,389.43 / $4,389.43	Professional		$2,106.13	$4,389.43	$4,389.43
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $933.37 / $1,899.85 / $3,458.49	Professional		$933.37	$1,899.85	$3,458.49