Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.30 / $1,714.07 / $14,482.00	Facility		$785.30	$1,714.07	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $747.49 / $821.35 / $3,011.27	Professional		$747.49	$821.35	$3,011.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $10,038.00	Facility		$2,740.00	$4,780.00	$10,038.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $820.79 / $2,182.30 / $4,775.49	Professional		$820.79	$2,182.30	$4,775.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,213.15 / $2,586.23 / $4,171.52	Facility		$2,213.15	$2,586.23	$4,171.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,135.09 / $2,426.16 / $3,490.41	Professional		$1,135.09	$2,426.16	$3,490.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $785.30 / $918.80 / $1,637.89	Facility		$785.30	$918.80	$1,637.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $787.50 / $7,217.00 / $15,702.00	Facility		$787.50	$7,217.00	$15,702.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $956.16 / $2,024.05 / $5,382.60	Professional		$956.16	$2,024.05	$5,382.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.27 / $513.15 / $1,687.51	Professional		$63.27	$513.15	$1,687.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $785.30 / $918.80 / $1,637.89	Facility		$785.30	$918.80	$1,637.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,634.10 / $2,523.30 / $2,972.30	Professional		$1,634.10	$2,523.30	$2,972.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,909.30 / $7,909.30 / $7,909.30	Facility		$7,909.30	$7,909.30	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,175.88 / $4,048.10 / $6,254.56	Professional		$1,175.88	$4,048.10	$6,254.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,335.71 / $2,335.71 / $2,335.71	Professional		$2,335.71	$2,335.71	$2,335.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,618.34 / $4,739.16 / $4,739.16	Professional		$2,618.34	$4,739.16	$4,739.16
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 $940.98 / $2,507.09 / $4,291.14	Professional		$940.98	$2,507.09	$4,291.14