Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.90 / $1,033.84 / $14,482.00	Facility		$648.90	$1,033.84	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.45 / $1,033.84 / $1,149.16	Professional		$650.45	$1,033.84	$1,149.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $849.33 / $2,188.53 / $5,191.68	Professional		$849.33	$2,188.53	$5,191.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,120.08 / $1,308.92 / $2,111.23	Facility		$1,120.08	$1,308.92	$2,111.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.87 / $1,450.09 / $2,170.23	Professional		$855.87	$1,450.09	$2,170.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $432.54 / $735.00 / $1,273.72	Facility		$432.54	$735.00	$1,273.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $447.80 / $1,209.00 / $2,090.40	Facility		$447.80	$1,209.00	$2,090.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.09 / $1,269.59 / $2,315.85	Professional		$407.09	$1,269.59	$2,315.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $3,483.57	Professional		$55.00	$85.00	$3,483.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $432.54 / $735.00 / $1,273.72	Facility		$432.54	$735.00	$1,273.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,547.00 / $2,388.81 / $2,813.87	Professional		$1,547.00	$2,388.81	$2,813.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,450.00 / $10,450.00 / $10,450.00	Facility		$10,450.00	$10,450.00	$10,450.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,537.24 / $4,510.89 / $5,971.20	Professional		$1,537.24	$4,510.89	$5,971.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,208.65 / $2,208.65 / $2,208.65	Professional		$2,208.65	$2,208.65	$2,208.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,069.46 / $3,069.46 / $5,468.67	Professional		$3,069.46	$3,069.46	$5,468.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $322.02 / $1,192.80 / $2,010.17	Professional		$322.02	$1,192.80	$2,010.17