Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.36 / $1,126.82 / $14,482.00	Facility		$532.36	$1,126.82	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.26 / $557.30 / $2,466.19	Professional		$509.26	$557.30	$2,466.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,939.00 / $5,749.00	Facility		$1,314.00	$2,939.00	$5,749.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.59 / $1,227.81 / $3,118.25	Professional		$514.59	$1,227.81	$3,118.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,425.57 / $1,665.89 / $2,555.52	Facility		$1,425.57	$1,665.89	$2,555.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.97 / $2,180.44 / $2,477.79	Professional		$768.97	$2,180.44	$2,477.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $532.36 / $683.57 / $1,176.52	Facility		$532.36	$683.57	$1,176.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $532.36 / $1,109.06 / $11,100.00	Facility		$532.36	$1,109.06	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $563.72 / $1,031.88 / $4,066.16	Professional		$563.72	$1,031.88	$4,066.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $316.93 / $1,039.79	Professional		$61.84	$316.93	$1,039.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $532.36 / $683.57 / $1,176.52	Facility		$532.36	$683.57	$1,176.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,093.30 / $1,332.14 / $1,988.63	Professional		$1,093.30	$1,332.14	$1,988.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,232.10 / $3,232.10 / $3,232.10	Facility		$3,232.10	$3,232.10	$3,232.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $989.54 / $2,579.69 / $4,066.16	Professional		$989.54	$2,579.69	$4,066.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,753.58 / $1,753.58 / $1,753.58	Professional		$1,753.58	$1,753.58	$1,753.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,539.61 / $2,683.54 / $3,470.10	Professional		$1,539.61	$2,683.54	$3,470.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $561.22 / $1,020.30 / $2,391.61	Professional		$561.22	$1,020.30	$2,391.61