Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.74 / $1,235.90 / $14,482.00	Facility		$739.74	$1,235.90	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.78 / $739.74 / $1,987.04	Professional		$448.78	$739.74	$1,987.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.12 / $1,573.70 / $3,562.61	Professional		$558.12	$1,573.70	$3,562.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,597.69 / $1,867.02 / $3,011.44	Facility		$1,597.69	$1,867.02	$3,011.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.44 / $1,865.56 / $2,519.73	Professional		$818.44	$1,865.56	$2,519.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $604.22 / $865.50 / $1,180.97	Facility		$604.22	$865.50	$1,180.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $662.87 / $4,240.00 / $11,598.00	Facility		$662.87	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $667.36 / $1,705.13 / $4,009.25	Professional		$667.36	$1,705.13	$4,009.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $474.00 / $1,236.37	Professional		$63.30	$474.00	$1,236.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $659.15 / $865.50 / $1,180.97	Facility		$659.15	$865.50	$1,180.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,177.15 / $1,811.00 / $2,205.51	Professional		$1,177.15	$1,811.00	$2,205.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,011.04 / $9,011.04 / $9,011.04	Facility		$9,011.04	$9,011.04	$9,011.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $848.44 / $2,824.85 / $4,509.92	Professional		$848.44	$2,824.85	$4,509.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,483.15 / $1,483.15 / $1,483.15	Professional		$1,483.15	$1,483.15	$1,483.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,410.04 / $3,640.85 / $3,640.85	Professional		$1,410.04	$3,640.85	$3,640.85
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $645.28 / $1,671.17 / $2,525.42	Professional		$645.28	$1,671.17	$2,525.42