Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.33 / $2,189.58 / $14,482.00	Facility		$565.33	$2,189.58	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.05 / $565.33 / $2,021.98	Professional		$418.05	$565.33	$2,021.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,838.00 / $18,458.00	Facility		$7,084.00	$11,838.00	$18,458.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $566.08 / $1,582.27 / $3,883.36	Professional		$566.08	$1,582.27	$3,883.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,561.64 / $1,824.90 / $2,943.50	Facility		$1,561.64	$1,824.90	$2,943.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.05 / $1,766.59 / $2,488.23	Professional		$1,092.05	$1,766.59	$2,488.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $560.10 / $698.92 / $2,675.11	Facility		$560.10	$698.92	$2,675.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $560.10 / $2,675.11 / $16,779.00	Facility		$560.10	$2,675.11	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $672.47 / $1,472.35 / $3,420.39	Professional		$672.47	$1,472.35	$3,420.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $487.97 / $1,288.28	Professional		$63.30	$487.97	$1,288.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $560.10 / $698.92 / $2,675.11	Facility		$560.10	$698.92	$2,675.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,175.20 / $1,808.00 / $2,137.60	Professional		$1,175.20	$1,808.00	$2,137.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,223.75 / $16,223.75 / $16,223.75	Facility		$16,223.75	$16,223.75	$16,223.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,154.26 / $2,831.45 / $4,816.27	Professional		$1,154.26	$2,831.45	$4,816.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,592.83 / $2,592.83 / $2,592.83	Professional		$2,592.83	$2,592.83	$2,592.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,228.28 / $3,920.80 / $3,920.80	Professional		$2,228.28	$3,920.80	$3,920.80
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 $635.80 / $1,553.27 / $2,481.77	Professional		$635.80	$1,553.27	$2,481.77