Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.54 / $1,434.38 / $14,482.00	Facility		$764.54	$1,434.38	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.39 / $764.54 / $2,556.38	Professional		$621.39	$764.54	$2,556.38
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 $667.64 / $1,844.25 / $3,884.10	Professional		$667.64	$1,844.25	$3,884.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,821.16 / $2,128.17 / $3,432.67	Facility		$1,821.16	$2,128.17	$3,432.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,051.88 / $2,080.48 / $2,886.25	Professional		$1,051.88	$2,080.48	$2,886.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $701.25 / $861.71 / $1,632.80	Facility		$701.25	$861.71	$1,632.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $764.54 / $3,360.50 / $11,598.00	Facility		$764.54	$3,360.50	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $775.46 / $1,699.10 / $3,351.22	Professional		$775.46	$1,699.10	$3,351.22
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 $701.25 / $861.71 / $1,632.80	Facility		$701.25	$861.71	$1,632.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,388.40 / $2,132.08 / $2,525.39	Professional		$1,388.40	$2,132.08	$2,525.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,824.70 / $5,824.70 / $5,824.70	Facility		$5,824.70	$5,824.70	$5,824.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,084.95 / $3,398.20 / $5,271.20	Professional		$1,084.95	$3,398.20	$5,271.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,746.20 / $1,746.20 / $1,746.20	Professional		$1,746.20	$1,746.20	$1,746.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,733.73 / $3,800.66 / $3,800.66	Professional		$1,733.73	$3,800.66	$3,800.66
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 $801.26 / $2,029.07 / $2,978.52	Professional		$801.26	$2,029.07	$2,978.52