Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.94 / $1,294.74 / $14,482.00	Facility		$695.94	$1,294.74	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.23 / $695.94 / $2,132.08	Professional		$585.23	$695.94	$2,132.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.23 / $1,404.81 / $3,620.30	Professional		$596.23	$1,404.81	$3,620.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,645.45 / $1,922.83 / $2,949.67	Facility		$1,645.45	$1,922.83	$2,949.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.68 / $1,245.39 / $2,596.44	Professional		$698.68	$1,245.39	$2,596.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $596.15 / $951.45 / $1,800.03	Facility		$596.15	$951.45	$1,800.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $690.53 / $1,726.32 / $8,783.00	Facility		$690.53	$1,726.32	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $639.87 / $1,139.39 / $3,324.78	Professional		$639.87	$1,139.39	$3,324.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $486.02 / $1,225.42	Professional		$61.84	$486.02	$1,225.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $596.15 / $951.45 / $1,800.03	Facility		$596.15	$951.45	$1,800.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,189.53 / $1,525.18 / $2,626.70	Professional		$1,189.53	$1,525.18	$2,626.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,221.88 / $16,547.20 / $16,547.20	Facility		$11,221.88	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $879.50 / $2,656.22 / $6,414.54	Professional		$879.50	$2,656.22	$6,414.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,282.78 / $2,282.78 / $2,282.78	Professional		$2,282.78	$2,282.78	$2,282.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,212.73 / $3,170.24 / $3,170.24	Professional		$2,212.73	$3,170.24	$3,170.24
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $616.52 / $1,191.76 / $2,699.34	Professional		$616.52	$1,191.76	$2,699.34