Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.27 / $1,469.23 / $3,177.08	Facility		$596.27	$1,469.23	$3,177.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.27 / $727.21 / $2,437.75	Professional		$596.27	$727.21	$2,437.75
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 $831.07 / $1,776.14 / $3,656.67	Professional		$831.07	$1,776.14	$3,656.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,278.92 / $2,663.11 / $4,085.28	Facility		$2,278.92	$2,663.11	$4,085.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $697.28 / $1,244.69 / $2,356.48	Professional		$697.28	$1,244.69	$2,356.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $700.57 / $1,074.97 / $2,376.87	Facility		$700.57	$1,074.97	$2,376.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $727.21 / $1,507.57 / $5,261.00	Facility		$727.21	$1,507.57	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $787.97 / $1,644.38 / $5,290.80	Professional		$787.97	$1,644.38	$5,290.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.48 / $510.82 / $1,536.25	Professional		$93.48	$510.82	$1,536.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $700.57 / $1,074.97 / $2,376.87	Facility		$700.57	$1,074.97	$2,376.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,529.14 / $2,076.31 / $2,894.10	Professional		$1,529.14	$2,076.31	$2,894.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,377.81 / $1,841.43 / $3,354.76	Facility		$1,377.81	$1,841.43	$3,354.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $825.98 / $3,447.70 / $6,412.80	Professional		$825.98	$3,447.70	$6,412.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,308.50 / $1,308.50 / $1,598.33	Professional		$1,308.50	$1,308.50	$1,598.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,290.61 / $3,024.40 / $3,687.13	Professional		$1,290.61	$3,024.40	$3,687.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $763.84 / $1,308.53 / $3,298.00	Professional		$763.84	$1,308.53	$3,298.00