Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.50 / $1,113.09 / $14,482.00	Facility		$616.50	$1,113.09	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $594.25 / $631.73 / $2,979.37	Professional		$594.25	$631.73	$2,979.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.13 / $1,422.69 / $3,774.07	Professional		$630.13	$1,422.69	$3,774.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,388.63 / $1,622.72 / $2,489.29	Facility		$1,388.63	$1,622.72	$2,489.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $871.90 / $2,165.02 / $2,460.25	Professional		$871.90	$2,165.02	$2,460.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $593.65 / $909.15 / $1,340.95	Facility		$593.65	$909.15	$1,340.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $595.48 / $1,089.18 / $14,246.00	Facility		$595.48	$1,089.18	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $744.71 / $1,350.82 / $4,831.09	Professional		$744.71	$1,350.82	$4,831.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $376.28 / $1,073.22	Professional		$76.54	$376.28	$1,073.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $593.65 / $882.18 / $1,340.95	Facility		$593.65	$882.18	$1,340.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,117.34 / $1,375.54 / $2,044.58	Professional		$1,117.34	$1,375.54	$2,044.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,283.85 / $3,283.85 / $3,283.85	Facility		$3,283.85	$3,283.85	$3,283.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,012.92 / $3,116.50 / $4,831.09	Professional		$1,012.92	$3,116.50	$4,831.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,076.53 / $2,076.53 / $2,076.53	Professional		$2,076.53	$2,076.53	$2,076.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,887.20 / $3,315.31 / $3,445.48	Professional		$1,887.20	$3,315.31	$3,445.48
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 $718.10 / $1,211.26 / $2,836.02	Professional		$718.10	$1,211.26	$2,836.02