Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.32 / $1,386.11 / $14,482.00	Facility		$563.32	$1,386.11	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.32 / $611.77 / $1,925.65	Professional		$563.32	$611.77	$1,925.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $641.95 / $1,420.50 / $3,016.15	Professional		$641.95	$1,420.50	$3,016.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.69 / $2,058.67 / $3,158.06	Facility		$1,761.69	$2,058.67	$3,158.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.64 / $1,337.85 / $1,958.71	Professional		$630.64	$1,337.85	$1,958.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $611.77 / $898.73 / $1,982.28	Facility		$611.77	$898.73	$1,982.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $659.01 / $1,889.37 / $11,598.00	Facility		$659.01	$1,889.37	$11,598.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,052.31 / $1,052.31 / $1,052.31	Facility	AS	$1,052.31	$1,052.31	$1,052.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $639.23 / $1,031.15 / $3,088.87	Professional		$639.23	$1,031.15	$3,088.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $382.11 / $1,171.81	Professional		$63.88	$382.11	$1,171.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $611.77 / $898.73 / $1,982.28	Facility		$611.77	$898.73	$1,982.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,276.91 / $1,637.21 / $2,323.44	Professional		$1,276.91	$1,637.21	$2,323.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,529.08 / $11,102.00 / $11,102.00	Facility		$7,529.08	$11,102.00	$11,102.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $752.91 / $1,052.31 / $1,052.31	Facility	AS	$752.91	$1,052.31	$1,052.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $780.71 / $2,833.25 / $5,004.08	Professional		$780.71	$2,833.25	$5,004.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,212.28 / $2,359.59 / $2,866.26	Professional		$1,212.28	$2,359.59	$2,866.26
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 $630.78 / $1,061.43 / $2,431.05	Professional		$630.78	$1,061.43	$2,431.05