Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.27 / $1,305.10 / $14,482.00	Facility		$620.27	$1,305.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.27 / $632.66 / $2,975.02	Professional		$620.27	$632.66	$2,975.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $636.79 / $1,431.39 / $3,928.62	Professional		$636.79	$1,431.39	$3,928.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,632.83 / $1,908.09 / $2,927.06	Facility		$1,632.83	$1,908.09	$2,927.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $971.75 / $2,498.96 / $2,839.74	Professional		$971.75	$2,498.96	$2,839.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $620.27 / $928.08 / $1,395.44	Facility		$620.27	$928.08	$1,395.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $620.27 / $1,305.10 / $13,250.00	Facility		$620.27	$1,305.10	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $720.33 / $1,363.22 / $5,563.75	Professional		$720.33	$1,363.22	$5,563.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $372.77 / $1,186.12	Professional		$65.66	$372.77	$1,186.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $620.27 / $912.23 / $1,395.44	Facility		$620.27	$912.23	$1,395.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,246.05 / $1,518.26 / $2,266.46	Professional		$1,246.05	$1,518.26	$2,266.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,393.14 / $4,393.14 / $4,393.14	Facility		$4,393.14	$4,393.14	$4,393.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,169.17 / $3,111.95 / $5,563.75	Professional		$1,169.17	$3,111.95	$5,563.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,042.29 / $2,042.29 / $2,042.29	Professional		$2,042.29	$2,042.29	$2,042.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,013.23 / $3,302.94 / $3,976.98	Professional		$2,013.23	$3,302.94	$3,976.98
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $681.53 / $1,248.28 / $2,831.87	Professional		$681.53	$1,248.28	$2,831.87