Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.20 / $1,827.02 / $14,482.00	Facility		$742.20	$1,827.02	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.20 / $818.66 / $1,827.02	Professional		$742.20	$818.66	$1,827.02
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 $853.30 / $1,871.57 / $3,882.88	Professional		$853.30	$1,871.57	$3,882.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,306.87 / $2,695.76 / $4,135.35	Facility		$2,306.87	$2,695.76	$4,135.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $834.19 / $1,760.68 / $2,570.92	Professional		$834.19	$1,760.68	$2,570.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $812.01 / $1,194.61 / $2,629.83	Facility		$812.01	$1,194.61	$2,629.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $868.37 / $2,517.15 / $8,384.00	Facility		$868.37	$2,517.15	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $844.45 / $1,378.06 / $4,012.95	Professional		$844.45	$1,378.06	$4,012.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $532.65 / $1,623.98	Professional		$63.88	$532.65	$1,623.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $812.01 / $1,194.61 / $2,629.83	Facility		$812.01	$1,194.61	$2,629.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,694.43 / $2,172.54 / $3,083.15	Professional		$1,694.43	$2,172.54	$3,083.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,623.24 / $6,817.20 / $6,817.20	Facility		$4,623.24	$6,817.20	$6,817.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,024.73 / $3,718.80 / $6,587.04	Professional		$1,024.73	$3,718.80	$6,587.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,631.15 / $1,631.15 / $1,631.15	Professional		$1,631.15	$1,631.15	$1,631.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,605.66 / $3,095.11 / $3,762.15	Professional		$1,605.66	$3,095.11	$3,762.15
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $789.30 / $1,352.96 / $3,383.27	Professional		$789.30	$1,352.96	$3,383.27