Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.20 / $8,243.00 / $14,482.00	Facility		$241.20	$8,243.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.20 / $360.65 / $669.93	Professional		$241.20	$360.65	$669.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.07 / $758.54 / $2,483.27	Professional		$371.07	$758.54	$2,483.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,016.46 / $1,187.82 / $1,915.91	Facility		$1,016.46	$1,187.82	$1,915.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.10 / $543.88 / $695.61	Professional		$441.10	$543.88	$695.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $241.20 / $394.82 / $771.70	Facility		$241.20	$394.82	$771.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $394.82 / $12,365.00 / $22,691.00	Facility		$394.82	$12,365.00	$22,691.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $360.04 / $985.40 / $1,685.49	Professional		$360.04	$985.40	$1,685.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $1,128.39	Professional		$50.00	$58.40	$1,128.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $241.20 / $394.82 / $771.70	Facility		$241.20	$394.82	$771.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $560.46 / $1,028.59 / $1,434.40	Professional		$560.46	$1,028.59	$1,434.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,689.15 / $23,689.15 / $23,689.15	Facility		$23,689.15	$23,689.15	$23,689.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,784.21 / $3,172.72 / $3,172.72	Professional		$1,784.21	$3,172.72	$3,172.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,947.36 / $1,947.36 / $1,947.36	Professional		$1,947.36	$1,947.36	$1,947.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,361.61 / $2,706.33 / $2,706.33	Professional		$2,361.61	$2,706.33	$2,706.33
United Facility/Professional Facility Modifier Low / Median / High Price $8,452.00 / $14,566.00 / $19,562.00	Facility		$8,452.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.04 / $930.34 / $1,535.53	Professional		$390.04	$930.34	$1,535.53