Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.28 / $1,831.29 / $14,482.00	Facility		$546.28	$1,831.29	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.21 / $546.28 / $1,388.51	Professional		$450.21	$546.28	$1,388.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $8,746.00 / $15,579.70	Facility		$5,479.00	$8,746.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.77 / $1,120.57 / $2,861.13	Professional		$474.77	$1,120.57	$2,861.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,278.69 / $1,494.25 / $2,292.21	Facility		$1,278.69	$1,494.25	$2,292.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $543.35 / $1,614.99 / $2,030.81	Professional		$543.35	$1,614.99	$2,030.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $458.98 / $585.51 / $981.86	Facility		$458.98	$585.51	$981.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $458.98 / $664.68 / $7,891.00	Facility		$458.98	$664.68	$7,891.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.24 / $1,052.26 / $4,468.60	Professional		$501.24	$1,052.26	$4,468.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $815.03 / $1,199.42	Professional		$85.00	$815.03	$1,199.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $457.61 / $584.55 / $981.86	Facility		$457.61	$584.55	$981.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $889.20 / $1,185.90 / $2,054.48	Professional		$889.20	$1,185.90	$2,054.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $554.52 / $16,547.20 / $16,547.20	Facility		$554.52	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $687.91 / $2,391.50 / $4,468.60	Professional		$687.91	$2,391.50	$4,468.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,790.30 / $1,790.30 / $1,790.30	Professional		$1,790.30	$1,790.30	$1,790.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,660.03 / $2,479.66 / $2,479.66	Professional		$1,660.03	$2,479.66	$2,479.66
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,280.00 / $8,384.00	Facility		$4,918.00	$7,280.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.80 / $942.01 / $2,158.33	Professional		$477.80	$942.01	$2,158.33