Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.53 / $1,445.63 / $14,482.00	Facility		$770.53	$1,445.63	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.05 / $770.53 / $2,502.88	Professional		$626.05	$770.53	$2,502.88
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 $672.52 / $1,853.05 / $3,819.49	Professional		$672.52	$1,853.05	$3,819.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,835.58 / $2,145.02 / $3,459.84	Facility		$1,835.58	$2,145.02	$3,459.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,060.11 / $2,096.73 / $2,909.16	Professional		$1,060.11	$2,096.73	$2,909.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $706.75 / $868.25 / $1,381.38	Facility		$706.75	$868.25	$1,381.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $770.53 / $3,360.50 / $11,598.00	Facility		$770.53	$3,360.50	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $817.04 / $1,711.23 / $3,377.44	Professional		$817.04	$1,711.23	$3,377.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $442.85 / $1,461.81	Professional		$62.69	$442.85	$1,461.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $714.33 / $868.25 / $1,381.38	Facility		$714.33	$868.25	$1,381.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,398.80 / $2,147.80 / $2,544.31	Professional		$1,398.80	$2,147.80	$2,544.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,868.94 / $5,868.94 / $5,868.94	Facility		$5,868.94	$5,868.94	$5,868.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,093.43 / $3,422.45 / $5,311.04	Professional		$1,093.43	$3,422.45	$5,311.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,759.08 / $1,759.08 / $1,759.08	Professional		$1,759.08	$1,759.08	$1,759.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,735.39 / $3,830.39 / $3,830.39	Professional		$1,735.39	$3,830.39	$3,830.39
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 $775.74 / $1,499.03 / $2,999.78	Professional		$775.74	$1,499.03	$2,999.78