Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.00 / $1,269.63 / $3,119.00	Facility		$517.00	$1,269.63	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.00 / $593.12 / $2,110.52	Professional		$517.00	$593.12	$2,110.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.94 / $1,499.28 / $3,060.95	Professional		$655.94	$1,499.28	$3,060.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,782.42 / $2,082.89 / $3,195.21	Facility		$1,782.42	$2,082.89	$3,195.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $657.37 / $1,047.01 / $1,989.58	Professional		$657.37	$1,047.01	$1,989.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $578.26 / $866.24 / $1,988.85	Facility		$578.26	$866.24	$1,988.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $617.67 / $1,406.13 / $5,169.00	Facility		$617.67	$1,406.13	$5,169.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $674.89 / $1,246.97 / $4,641.04	Professional		$674.89	$1,246.97	$4,641.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $409.91 / $1,287.52	Professional		$63.88	$409.91	$1,287.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $578.26 / $866.24 / $1,988.85	Facility		$578.26	$866.24	$1,988.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,259.05 / $1,701.25 / $2,338.60	Professional		$1,259.05	$1,701.25	$2,338.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,190.63 / $1,591.27 / $2,965.40	Facility		$1,190.63	$1,591.27	$2,965.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $714.80 / $2,594.03 / $5,127.12	Professional		$714.80	$2,594.03	$5,127.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,149.97 / $1,149.97 / $1,286.29	Professional		$1,149.97	$1,149.97	$1,286.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,112.04 / $2,385.94 / $2,911.43	Professional		$1,112.04	$2,385.94	$2,911.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $3,827.00 / $6,564.00	Facility		$2,883.00	$3,827.00	$6,564.00
United Facility/Professional Professional Modifier Low / Median / High Price $650.85 / $1,182.13 / $2,896.61	Professional		$650.85	$1,182.13	$2,896.61