Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,041.09 / $1,041.09 / $14,482.00	Facility		$1,041.09	$1,041.09	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.60 / $736.20 / $1,225.44	Professional		$518.60	$736.20	$1,225.44
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 $648.33 / $1,344.19 / $3,570.73	Professional		$648.33	$1,344.19	$3,570.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,932.00 / $2,257.69 / $3,641.58	Facility		$1,932.00	$2,257.69	$3,641.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.83 / $1,790.25 / $2,608.08	Professional		$928.83	$1,790.25	$2,608.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $681.85 / $919.11 / $1,593.11	Facility		$681.85	$919.11	$1,593.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $818.22 / $8,225.90 / $15,702.00	Facility		$818.22	$8,225.90	$15,702.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $723.31 / $1,368.88 / $4,946.47	Professional		$723.31	$1,368.88	$4,946.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $521.66 / $724.54	Professional		$65.00	$521.66	$724.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $681.85 / $919.11 / $1,593.11	Facility		$681.85	$919.11	$1,593.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $925.36 / $1,698.29 / $2,420.40	Professional		$925.36	$1,698.29	$2,420.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,879.05 / $11,879.05 / $11,879.05	Facility		$11,879.05	$11,879.05	$11,879.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,296.26 / $3,222.65 / $5,253.52	Professional		$1,296.26	$3,222.65	$5,253.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,361.32 / $3,361.32 / $3,361.32	Professional		$3,361.32	$3,361.32	$3,361.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,681.44 / $7,126.70 / $7,126.70	Professional		$2,681.44	$7,126.70	$7,126.70
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $1,413.28 / $4,040.07	Professional		$95.00	$1,413.28	$4,040.07