Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.83 / $1,307.27 / $14,482.00	Facility		$531.83	$1,307.27	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.83 / $556.58 / $1,972.81	Professional		$531.83	$556.58	$1,972.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.09 / $1,249.08 / $2,781.04	Professional		$573.09	$1,249.08	$2,781.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,658.96 / $1,938.63 / $2,973.91	Facility		$1,658.96	$1,938.63	$2,973.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.38 / $1,263.75 / $1,842.96	Professional		$599.38	$1,263.75	$1,842.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $581.01 / $802.33 / $1,819.08	Facility		$581.01	$802.33	$1,819.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $620.97 / $1,743.03 / $8,384.00	Facility		$620.97	$1,743.03	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.33 / $934.30 / $2,540.36	Professional		$575.33	$934.30	$2,540.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $372.52 / $1,158.06	Professional		$63.88	$372.52	$1,158.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $581.01 / $802.33 / $1,819.08	Facility		$581.01	$802.33	$1,819.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,208.88 / $1,549.99 / $2,199.66	Professional		$1,208.88	$1,549.99	$2,199.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,724.48 / $4,017.35 / $4,017.35	Facility		$2,724.48	$4,017.35	$4,017.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $734.58 / $2,665.80 / $4,710.00	Professional		$734.58	$2,665.80	$4,710.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,168.65 / $1,168.65 / $1,168.65	Professional		$1,168.65	$1,168.65	$1,168.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,058.92 / $2,022.53 / $2,696.87	Professional		$1,058.92	$2,022.53	$2,696.87
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 $542.88 / $934.30 / $2,405.59	Professional		$542.88	$934.30	$2,405.59