Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.91 / $647.91 / $17,823.00	Facility		$647.91	$647.91	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $589.89 / $652.13 / $841.44	Professional		$589.89	$652.13	$841.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $680.58 / $1,364.05 / $3,799.67	Professional		$680.58	$1,364.05	$3,799.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,868.92 / $2,183.98 / $3,350.29	Facility		$1,868.92	$2,183.98	$3,350.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.39 / $995.84 / $2,543.01	Professional		$679.39	$995.84	$2,543.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $624.71 / $737.69 / $1,191.49	Facility		$624.71	$737.69	$1,191.49
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $511.55 / $511.55 / $511.55	Professional		$511.55	$511.55	$511.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $617.29 / $794.33 / $4,821.00	Facility		$617.29	$794.33	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $705.91 / $1,363.68 / $4,679.27	Professional		$705.91	$1,363.68	$4,679.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.47 / $580.13 / $1,402.63	Professional		$61.47	$580.13	$1,402.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $624.71 / $728.46 / $1,423.17	Facility		$624.71	$728.46	$1,423.17
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $511.55 / $511.55 / $511.55	Professional		$511.55	$511.55	$511.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,369.80 / $1,800.83 / $3,008.69	Professional		$1,369.80	$1,800.83	$3,008.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $857.83 / $4,121.33 / $4,121.33	Facility		$857.83	$4,121.33	$4,121.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $679.39 / $3,354.05 / $4,679.27	Professional		$679.39	$3,354.05	$4,679.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,448.90 / $1,704.59 / $3,794.71	Professional		$1,448.90	$1,704.59	$3,794.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $705.91 / $1,469.07 / $3,475.27	Professional		$705.91	$1,469.07	$3,475.27