Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.52 / $1,334.95 / $14,482.00	Facility		$541.52	$1,334.95	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.52 / $568.62 / $1,955.16	Professional		$541.52	$568.62	$1,955.16
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 $614.76 / $1,357.55 / $2,848.63	Professional		$614.76	$1,357.55	$2,848.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,691.40 / $1,976.54 / $3,032.06	Facility		$1,691.40	$1,976.54	$3,032.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.01 / $1,290.26 / $1,878.68	Professional		$589.01	$1,290.26	$1,878.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $593.30 / $860.66 / $1,859.40	Facility		$593.30	$860.66	$1,859.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $633.58 / $1,779.93 / $6,312.00	Facility		$633.58	$1,779.93	$6,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $560.96 / $992.05 / $2,705.01	Professional		$560.96	$992.05	$2,705.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $378.46 / $1,171.81	Professional		$63.88	$378.46	$1,171.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $593.30 / $860.66 / $1,859.40	Facility		$593.30	$860.66	$1,859.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,235.08 / $1,583.60 / $2,247.35	Professional		$1,235.08	$1,583.60	$2,247.35
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 $748.81 / $2,717.46 / $4,801.92	Professional		$748.81	$2,717.46	$4,801.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,187.96 / $1,187.96 / $1,187.96	Professional		$1,187.96	$1,187.96	$1,187.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,112.46 / $2,004.47 / $2,749.12	Professional		$1,112.46	$2,004.47	$2,749.12
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 $573.53 / $977.66 / $2,431.59	Professional		$573.53	$977.66	$2,431.59