Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.04 / $1,558.19 / $3,192.88	Facility		$634.04	$1,558.19	$3,192.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.04 / $739.76 / $2,601.19	Professional		$634.04	$739.76	$2,601.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $828.48 / $1,825.14 / $3,729.04	Professional		$828.48	$1,825.14	$3,729.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,294.25 / $2,681.01 / $4,112.74	Facility		$2,294.25	$2,681.01	$4,112.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $789.45 / $1,231.83 / $2,397.15	Professional		$789.45	$1,231.83	$2,397.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $739.64 / $1,082.96 / $2,404.86	Facility		$739.64	$1,082.96	$2,404.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $742.96 / $1,691.87 / $10,843.00	Facility		$742.96	$1,691.87	$10,843.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $823.00 / $1,532.07 / $5,627.28	Professional		$823.00	$1,532.07	$5,627.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $511.50 / $1,535.15	Professional		$63.88	$511.50	$1,535.15
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $739.64 / $1,082.96 / $2,404.86	Facility		$739.64	$1,082.96	$2,404.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,530.84 / $2,078.21 / $2,886.40	Professional		$1,530.84	$2,078.21	$2,886.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,461.24 / $1,952.93 / $5,321.94	Facility		$1,461.24	$1,952.93	$5,321.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $876.88 / $3,182.22 / $6,484.16	Professional		$876.88	$3,182.22	$6,484.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,392.61 / $1,392.61 / $1,631.47	Professional		$1,392.61	$1,392.61	$1,631.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,436.33 / $3,059.21 / $3,725.45	Professional		$1,436.33	$3,059.21	$3,725.45
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $796.23 / $1,355.35 / $3,240.31	Professional		$796.23	$1,355.35	$3,240.31