Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.00 / $2,308.08 / $14,482.00	Facility		$938.00	$2,308.08	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.76 / $938.00 / $3,047.45	Professional		$602.76	$938.00	$3,047.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $593.66 / $1,211.08 / $2,920.77	Professional		$593.66	$1,211.08	$2,920.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,658.06 / $1,937.58 / $3,125.24	Facility		$1,658.06	$1,937.58	$3,125.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.74 / $1,520.48 / $2,261.98	Professional		$716.74	$1,520.48	$2,261.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $602.76 / $862.86 / $1,224.11	Facility		$602.76	$862.86	$1,224.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $638.15 / $2,247.00 / $4,793.00	Facility		$638.15	$2,247.00	$4,793.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $596.20 / $1,271.81 / $5,446.23	Professional		$596.20	$1,271.81	$5,446.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $349.15 / $1,061.46	Professional		$62.75	$349.15	$1,061.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $602.76 / $862.86 / $1,282.05	Facility		$602.76	$862.86	$1,282.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,118.40 / $1,476.29 / $2,095.51	Professional		$1,118.40	$1,476.29	$2,095.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,819.45 / $5,819.45 / $5,819.45	Facility		$5,819.45	$5,819.45	$5,819.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,034.90 / $3,047.45 / $5,446.23	Professional		$1,034.90	$3,047.45	$5,446.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,925.04 / $2,925.04 / $2,925.04	Professional		$2,925.04	$2,925.04	$2,925.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,414.48 / $3,776.91 / $6,080.14	Professional		$2,414.48	$3,776.91	$6,080.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $617.72 / $1,243.35 / $2,671.09	Professional		$617.72	$1,243.35	$2,671.09