Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.80 / $1,224.83 / $3,119.00	Facility		$496.80	$1,224.83	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.80 / $606.53 / $1,912.45	Professional		$496.80	$606.53	$1,912.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $636.66 / $1,429.87 / $3,051.23	Professional		$636.66	$1,429.87	$3,051.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,893.25 / $2,212.42 / $3,393.90	Facility		$1,893.25	$2,212.42	$3,393.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.84 / $1,061.53 / $1,965.45	Professional		$601.84	$1,061.53	$1,965.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $581.26 / $891.32 / $1,961.88	Facility		$581.26	$891.32	$1,961.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $606.53 / $1,310.58 / $7,318.00	Facility		$606.53	$1,310.58	$7,318.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $653.96 / $1,226.74 / $4,406.80	Professional		$653.96	$1,226.74	$4,406.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $410.41 / $1,245.41	Professional		$59.63	$410.41	$1,245.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $581.26 / $891.32 / $1,961.88	Facility		$581.26	$891.32	$1,961.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,260.61 / $1,710.91 / $2,385.90	Professional		$1,260.61	$1,710.91	$2,385.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,148.61 / $1,535.12 / $2,796.08	Facility		$1,148.61	$1,535.12	$2,796.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $687.29 / $2,494.21 / $5,312.80	Professional		$687.29	$2,494.21	$5,312.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,091.00 / $1,091.00 / $1,341.35	Professional		$1,091.00	$1,091.00	$1,341.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,048.84 / $2,356.63 / $3,058.41	Professional		$1,048.84	$2,356.63	$3,058.41
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $622.91 / $1,113.03 / $2,572.37	Professional		$622.91	$1,113.03	$2,572.37