Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.09 / $1,632.69 / $14,482.00	Facility		$663.09	$1,632.69	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.09 / $729.95 / $1,632.69	Professional		$663.09	$729.95	$1,632.69
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 $758.72 / $1,664.28 / $3,427.18	Professional		$758.72	$1,664.28	$3,427.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,065.37 / $2,413.54 / $3,702.44	Facility		$2,065.37	$2,413.54	$3,702.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.73 / $1,575.10 / $2,298.69	Professional		$740.73	$1,575.10	$2,298.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $725.64 / $1,062.21 / $2,284.11	Facility		$725.64	$1,062.21	$2,284.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $775.82 / $2,176.92 / $6,312.00	Facility		$775.82	$2,176.92	$6,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $725.64 / $1,178.65 / $3,310.08	Professional		$725.64	$1,178.65	$3,310.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $467.04 / $1,472.62	Professional		$63.88	$467.04	$1,472.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $725.64 / $1,062.21 / $2,284.11	Facility		$725.64	$1,062.21	$2,284.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,512.82 / $1,939.68 / $2,752.69	Professional		$1,512.82	$1,939.68	$2,752.69
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 $916.23 / $3,325.01 / $5,884.96	Professional		$916.23	$3,325.01	$5,884.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,456.37 / $1,456.37 / $1,456.37	Professional		$1,456.37	$1,456.37	$1,456.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,426.11 / $2,752.63 / $3,363.77	Professional		$1,426.11	$2,752.63	$3,363.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $716.98 / $1,152.58 / $2,967.62	Professional		$716.98	$1,152.58	$2,967.62