Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.85 / $1,874.83 / $14,482.00	Facility		$762.85	$1,874.83	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.85 / $799.79 / $3,084.37	Professional		$762.85	$799.79	$3,084.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $869.92 / $1,923.63 / $4,066.72	Professional		$869.92	$1,923.63	$4,066.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,371.75 / $2,771.58 / $4,251.67	Facility		$2,371.75	$2,771.58	$4,251.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.86 / $1,807.59 / $2,640.96	Professional		$886.86	$1,807.59	$2,640.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $833.26 / $1,217.89 / $2,623.53	Facility		$833.26	$1,217.89	$2,623.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $892.53 / $2,499.78 / $8,384.00	Facility		$892.53	$2,499.78	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $865.35 / $1,409.76 / $3,833.15	Professional		$865.35	$1,409.76	$3,833.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $532.65 / $1,664.02	Professional		$63.88	$532.65	$1,664.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $833.26 / $1,217.89 / $2,623.53	Facility		$833.26	$1,217.89	$2,623.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,736.87 / $2,226.96 / $3,160.37	Professional		$1,736.87	$2,226.96	$3,160.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,773.88 / $6,432.84 / $6,432.84	Facility		$3,773.88	$6,432.84	$6,432.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,052.65 / $3,820.10 / $6,763.20	Professional		$1,052.65	$3,820.10	$6,763.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,676.90 / $1,676.90 / $1,676.90	Professional		$1,676.90	$1,676.90	$1,676.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,626.08 / $3,162.12 / $3,864.61	Professional		$1,626.08	$3,162.12	$3,864.61
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 $854.57 / $1,409.76 / $3,279.94	Professional		$854.57	$1,409.76	$3,279.94