Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.06 / $1,443.76 / $14,482.00	Facility		$770.06	$1,443.76	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.51 / $770.06 / $2,573.10	Professional		$625.51	$770.06	$2,573.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $15,055.00 / $22,609.00	Facility		$8,139.00	$15,055.00	$22,609.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.14 / $1,858.03 / $3,911.20	Professional		$673.14	$1,858.03	$3,911.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,832.88 / $2,141.86 / $3,454.75	Facility		$1,832.88	$2,141.86	$3,454.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.75 / $2,094.06 / $2,904.86	Professional		$1,058.75	$2,094.06	$2,904.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $705.84 / $868.18 / $1,390.03	Facility		$705.84	$868.18	$1,390.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $770.00 / $4,240.00 / $12,631.00	Facility		$770.00	$4,240.00	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $807.31 / $1,712.75 / $3,375.37	Professional		$807.31	$1,712.75	$3,375.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $442.85 / $1,411.58	Professional		$62.69	$442.85	$1,411.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $715.05 / $868.18 / $1,390.03	Facility		$715.05	$868.18	$1,390.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,397.50 / $2,148.21 / $2,541.94	Professional		$1,397.50	$2,148.21	$2,541.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,298.90 / $16,298.90 / $16,298.90	Facility		$16,298.90	$16,298.90	$16,298.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,092.02 / $3,425.50 / $5,306.72	Professional		$1,092.02	$3,425.50	$5,306.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,758.38 / $1,758.38 / $1,758.38	Professional		$1,758.38	$1,758.38	$1,758.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,804.80 / $3,825.45 / $3,825.45	Professional		$1,804.80	$3,825.45	$3,825.45
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $743.81 / $1,644.77 / $3,002.45	Professional		$743.81	$1,644.77	$3,002.45