Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.04 / $1,464.57 / $14,482.00	Facility		$652.04	$1,464.57	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $652.04 / $665.48 / $2,454.83	Professional		$652.04	$665.48	$2,454.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,955.00 / $13,152.00	Facility		$5,060.00	$7,955.00	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $680.73 / $1,921.17 / $5,305.63	Professional		$680.73	$1,921.17	$5,305.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,845.49 / $2,156.61 / $3,478.53	Facility		$1,845.49	$2,156.61	$3,478.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,350.13 / $2,750.08 / $3,125.09	Professional		$1,350.13	$2,750.08	$3,125.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $652.04 / $833.18 / $1,399.48	Facility		$652.04	$833.18	$1,399.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $716.01 / $1,716.00 / $7,700.00	Facility		$716.01	$1,716.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $810.13 / $1,817.16 / $5,206.58	Professional		$810.13	$1,817.16	$5,206.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.90 / $464.54 / $1,532.40	Professional		$62.90	$464.54	$1,532.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $652.04 / $833.18 / $1,399.48	Facility		$652.04	$833.18	$1,399.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,506.70 / $2,318.00 / $3,052.88	Professional		$1,506.70	$2,318.00	$3,052.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,756.20 / $8,756.20 / $8,756.20	Facility		$8,756.20	$8,756.20	$8,756.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,381.63 / $3,374.15 / $5,389.60	Professional		$1,381.63	$3,374.15	$5,389.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,447.77 / $2,447.77 / $2,447.77	Professional		$2,447.77	$2,447.77	$2,447.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,390.83 / $4,117.99 / $4,117.99	Professional		$2,390.83	$4,117.99	$4,117.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $810.13 / $2,072.23 / $3,410.32	Professional		$810.13	$2,072.23	$3,410.32