Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.75 / $1,902.62 / $14,482.00	Facility		$772.75	$1,902.62	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.75 / $854.88 / $1,902.62	Professional		$772.75	$854.88	$1,902.62
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 $897.24 / $1,950.14 / $4,121.97	Professional		$897.24	$1,950.14	$4,121.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,400.58 / $2,805.27 / $4,303.35	Facility		$2,400.58	$2,805.27	$4,303.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.92 / $1,831.38 / $2,676.83	Professional		$880.92	$1,831.38	$2,676.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $845.61 / $1,256.14 / $2,740.17	Facility		$845.61	$1,256.14	$2,740.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $904.12 / $2,627.43 / $8,384.00	Facility		$904.12	$2,627.43	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $869.02 / $1,583.95 / $4,245.12	Professional		$869.02	$1,583.95	$4,245.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $543.84 / $1,688.68	Professional		$63.88	$543.84	$1,688.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $845.61 / $1,256.14 / $2,740.17	Facility		$845.61	$1,256.14	$2,740.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,765.58 / $2,263.77 / $3,212.61	Professional		$1,765.58	$2,263.77	$3,212.61
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 $1,066.95 / $3,871.98 / $6,864.00	Professional		$1,066.95	$3,871.98	$6,864.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,697.88 / $1,697.88 / $1,697.88	Professional		$1,697.88	$1,697.88	$1,697.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,650.30 / $3,264.78 / $3,917.14	Professional		$1,650.30	$3,264.78	$3,917.14
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 $827.65 / $1,418.91 / $3,570.82	Professional		$827.65	$1,418.91	$3,570.82