Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.63 / $1,535.94 / $14,482.00	Facility		$672.63	$1,535.94	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.51 / $740.73 / $2,500.16	Professional		$643.51	$740.73	$2,500.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $712.49 / $1,427.61 / $4,170.16	Professional		$712.49	$1,427.61	$4,170.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,934.70 / $2,260.86 / $3,468.21	Facility		$1,934.70	$2,260.86	$3,468.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,113.38 / $2,873.29 / $3,265.10	Professional		$1,113.38	$2,873.29	$3,265.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $672.63 / $933.12 / $1,535.94	Facility		$672.63	$933.12	$1,535.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $682.64 / $1,043.60 / $13,250.00	Facility		$682.64	$1,043.60	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $802.48 / $1,437.58 / $5,536.08	Professional		$802.48	$1,437.58	$5,536.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $591.13 / $1,579.59	Professional		$62.75	$591.13	$1,579.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $672.63 / $933.12 / $1,535.94	Facility		$672.63	$933.12	$1,535.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,480.05 / $1,803.38 / $2,692.10	Professional		$1,480.05	$1,803.38	$2,692.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,348.38 / $6,348.38 / $17,524.30	Facility		$6,348.38	$6,348.38	$17,524.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,443.53 / $3,543.45 / $5,536.08	Professional		$1,443.53	$3,543.45	$5,536.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,544.82 / $2,544.82 / $2,544.82	Professional		$2,544.82	$2,544.82	$2,544.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,136.88 / $4,027.86 / $4,302.52	Professional		$1,136.88	$4,027.86	$4,302.52
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $790.67 / $1,345.93 / $3,210.37	Professional		$790.67	$1,345.93	$3,210.37