Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.28 / $1,382.13 / $14,482.00	Facility		$654.28	$1,382.13	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.12 / $691.93 / $2,610.69	Professional		$577.12	$691.93	$2,610.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,057.00 / $7,774.00 / $12,204.00	Facility		$5,057.00	$7,774.00	$12,204.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $640.41 / $1,509.87 / $3,840.02	Professional		$640.41	$1,509.87	$3,840.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,747.27 / $2,041.83 / $3,132.21	Facility		$1,747.27	$2,041.83	$3,132.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.12 / $2,675.52 / $3,040.36	Professional		$988.12	$2,675.52	$3,040.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $654.28 / $959.50 / $1,435.05	Facility		$654.28	$959.50	$1,435.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $654.28 / $1,320.70 / $11,598.00	Facility		$654.28	$1,320.70	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $734.01 / $1,400.46 / $4,995.52	Professional		$734.01	$1,400.46	$4,995.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $403.94 / $1,306.38	Professional		$66.47	$403.94	$1,306.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $654.28 / $946.88 / $1,435.05	Facility		$654.28	$946.88	$1,435.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,343.55 / $1,637.06 / $2,443.81	Professional		$1,343.55	$1,637.06	$2,443.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,132.00 / $17,132.00 / $17,132.00	Facility		$17,132.00	$17,132.00	$17,132.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,251.76 / $3,197.40 / $4,995.52	Professional		$1,251.76	$3,197.40	$4,995.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,159.48 / $2,159.48 / $2,159.48	Professional		$2,159.48	$2,159.48	$2,159.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,926.94 / $3,313.91 / $4,257.89	Professional		$1,926.94	$3,313.91	$4,257.89
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,882.00 / $12,631.00	Facility		$6,073.00	$9,882.00	$12,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $699.06 / $1,345.30 / $2,919.23	Professional		$699.06	$1,345.30	$2,919.23