Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.55 / $2,272.75 / $14,482.00	Facility		$688.55	$2,272.75	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.65 / $688.55 / $1,275.23	Professional		$575.65	$688.55	$1,275.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $7,344.00	Facility		$2,740.00	$4,931.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.47 / $1,412.42 / $3,610.58	Professional		$608.47	$1,412.42	$3,610.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,626.52 / $1,900.72 / $2,915.75	Facility		$1,626.52	$1,900.72	$2,915.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.00 / $2,021.49 / $2,562.80	Professional		$682.00	$2,021.49	$2,562.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $599.66 / $765.14 / $1,218.56	Facility		$599.66	$765.14	$1,218.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $590.80 / $851.86 / $7,318.00	Facility		$590.80	$851.86	$7,318.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $644.28 / $1,416.86 / $4,632.96	Professional		$644.28	$1,416.86	$4,632.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $546.31 / $1,364.00	Professional		$65.00	$546.31	$1,364.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $590.80 / $762.56 / $1,218.56	Facility		$590.80	$762.56	$1,218.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,125.00 / $1,500.38 / $2,592.66	Professional		$1,125.00	$1,500.38	$2,592.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $701.32 / $7,909.30 / $7,909.30	Facility		$701.32	$7,909.30	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $868.10 / $2,993.45 / $4,632.96	Professional		$868.10	$2,993.45	$4,632.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,240.61 / $2,240.61 / $2,240.61	Professional		$2,240.61	$2,240.61	$2,240.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,060.21 / $3,129.18 / $3,129.18	Professional		$2,060.21	$3,129.18	$3,129.18
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,754.00 / $8,384.00	Facility		$4,103.00	$6,754.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $639.51 / $1,247.56 / $2,701.59	Professional		$639.51	$1,247.56	$2,701.59