Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.88 / $1,620.49 / $14,482.00	Facility		$722.88	$1,620.49	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.88 / $803.32 / $3,060.93	Professional		$722.88	$803.32	$3,060.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $752.69 / $1,770.32 / $4,238.85	Professional		$752.69	$1,770.32	$4,238.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,047.34 / $2,392.48 / $3,670.13	Facility		$2,047.34	$2,392.48	$3,670.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,191.99 / $3,038.73 / $3,453.10	Professional		$1,191.99	$3,038.73	$3,453.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $720.22 / $921.88 / $1,595.95	Facility		$720.22	$921.88	$1,595.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $720.22 / $1,120.94 / $11,100.00	Facility		$720.22	$1,120.94	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $835.92 / $1,512.04 / $5,862.96	Professional		$835.92	$1,512.04	$5,862.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $635.78 / $1,672.76	Professional		$62.75	$635.78	$1,672.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $720.22 / $890.78 / $1,595.95	Facility		$720.22	$890.78	$1,595.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,575.60 / $1,919.81 / $2,865.90	Professional		$1,575.60	$1,919.81	$2,865.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,526.63 / $3,757.85 / $5,862.96	Professional		$1,526.63	$3,757.85	$5,862.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,712.44 / $2,712.44 / $2,712.44	Professional		$2,712.44	$2,712.44	$2,712.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,499.48 / $4,298.38 / $4,550.21	Professional		$2,499.48	$4,298.38	$4,550.21
United Facility/Professional Facility Modifier Low / Median / High Price $6,489.22 / $9,882.00 / $12,631.00	Facility		$6,489.22	$9,882.00	$12,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $831.20 / $1,503.14 / $3,382.07	Professional		$831.20	$1,503.14	$3,382.07