Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.77 / $1,343.63 / $14,482.00	Facility		$622.77	$1,343.63	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.54 / $622.77 / $2,247.30	Professional		$547.54	$622.77	$2,247.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $13,630.00	Facility		$5,060.00	$8,006.00	$13,630.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $633.53 / $1,758.43 / $4,426.95	Professional		$633.53	$1,758.43	$4,426.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,692.30 / $1,977.59 / $3,189.78	Facility		$1,692.30	$1,977.59	$3,189.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,194.33 / $2,024.26 / $2,701.56	Professional		$1,194.33	$2,024.26	$2,701.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $622.77 / $877.01 / $1,672.05	Facility		$622.77	$877.01	$1,672.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $656.89 / $1,911.00 / $7,700.00	Facility		$656.89	$1,911.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $763.13 / $1,719.68 / $3,697.07	Professional		$763.13	$1,719.68	$3,697.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $423.52 / $1,335.87	Professional		$62.69	$423.52	$1,335.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $622.77 / $877.01 / $1,672.05	Facility		$622.77	$877.01	$1,672.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,333.80 / $2,052.00 / $2,803.70	Professional		$1,333.80	$2,052.00	$2,803.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,296.08 / $6,296.08 / $6,296.08	Facility		$6,296.08	$6,296.08	$6,296.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,259.84 / $3,184.60 / $9,351.00	Professional		$1,259.84	$3,184.60	$9,351.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,855.23 / $2,855.23 / $2,855.23	Professional		$2,855.23	$2,855.23	$2,855.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,723.69 / $3,585.05 / $3,585.05	Professional		$2,723.69	$3,585.05	$3,585.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $763.13 / $1,472.18 / $2,791.30	Professional		$763.13	$1,472.18	$2,791.30