Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.47 / $1,051.84 / $14,482.00	Facility		$483.47	$1,051.84	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.94 / $483.47 / $1,711.27	Professional		$414.94	$483.47	$1,711.27
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 $482.96 / $1,339.33 / $3,369.84	Professional		$482.96	$1,339.33	$3,369.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,327.35 / $1,551.11 / $2,501.89	Facility		$1,327.35	$1,551.11	$2,501.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $934.99 / $1,577.27 / $2,130.33	Professional		$934.99	$1,577.27	$2,130.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $483.47 / $628.00 / $1,005.10	Facility		$483.47	$628.00	$1,005.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $514.24 / $4,103.00 / $8,783.00	Facility		$514.24	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $578.32 / $1,218.27 / $2,814.19	Professional		$578.32	$1,218.27	$2,814.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $421.73 / $1,107.83	Professional		$63.30	$421.73	$1,107.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $483.47 / $628.00 / $1,005.10	Facility		$483.47	$628.00	$1,005.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,037.40 / $1,596.00 / $2,128.55	Professional		$1,037.40	$1,596.00	$2,128.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,723.79 / $8,723.79 / $8,723.79	Facility		$8,723.79	$8,723.79	$8,723.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $981.66 / $2,424.10 / $3,822.64	Professional		$981.66	$2,424.10	$3,822.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,208.34 / $2,208.34 / $2,208.34	Professional		$2,208.34	$2,208.34	$2,208.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,021.30 / $2,793.43 / $2,793.43	Professional		$1,021.30	$2,793.43	$2,793.43
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,611.00 / $9,134.00	Facility		$4,918.00	$7,611.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.85 / $1,309.01 / $2,333.69	Professional		$512.85	$1,309.01	$2,333.69