Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.12 / $1,028.00 / $14,482.00	Facility		$491.12	$1,028.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.99 / $562.47 / $2,718.43	Professional		$482.99	$562.47	$2,718.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,424.00 / $7,210.00	Facility		$2,740.00	$4,424.00	$7,210.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.92 / $1,061.73 / $2,961.22	Professional		$496.92	$1,061.73	$2,961.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,281.39 / $1,497.41 / $2,297.06	Facility		$1,281.39	$1,497.41	$2,297.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.95 / $2,000.02 / $2,272.75	Professional		$784.95	$2,000.02	$2,272.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $491.12 / $731.02 / $1,256.00	Facility		$491.12	$731.02	$1,256.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $503.12 / $1,028.00 / $14,246.00	Facility		$503.12	$1,028.00	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $600.79 / $1,088.11 / $5,626.96	Professional		$600.79	$1,088.11	$5,626.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $359.60 / $1,042.11	Professional		$76.54	$359.60	$1,042.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $491.12 / $713.71 / $1,256.00	Facility		$491.12	$713.71	$1,256.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,034.15 / $1,260.07 / $1,881.04	Professional		$1,034.15	$1,260.07	$1,881.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,253.41 / $4,253.41 / $4,253.41	Facility		$4,253.41	$4,253.41	$4,253.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $935.71 / $2,569.06 / $5,626.96	Professional		$935.71	$2,569.06	$5,626.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,645.07 / $1,645.07 / $1,645.07	Professional		$1,645.07	$1,645.07	$1,645.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,745.94 / $2,660.79 / $3,182.88	Professional		$1,745.94	$2,660.79	$3,182.88
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $596.23 / $1,043.96 / $2,260.71	Professional		$596.23	$1,043.96	$2,260.71