Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.50 / $1,676.30 / $14,482.00	Facility		$511.50	$1,676.30	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.84 / $508.94 / $1,252.57	Professional		$410.84	$508.94	$1,252.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.18 / $1,029.74 / $2,665.27	Professional		$437.18	$1,029.74	$2,665.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,221.92 / $1,427.91 / $2,190.44	Facility		$1,221.92	$1,427.91	$2,190.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.36 / $1,461.89 / $1,891.81	Professional		$474.36	$1,461.89	$1,891.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $418.03 / $550.37 / $949.77	Facility		$418.03	$550.37	$949.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $418.03 / $620.41 / $4,792.00	Facility		$418.03	$620.41	$4,792.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $443.40 / $1,007.00 / $3,371.12	Professional		$443.40	$1,007.00	$3,371.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $405.91 / $1,034.19	Professional		$50.00	$405.91	$1,034.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $410.84 / $557.26 / $1,003.20	Facility		$410.84	$557.26	$1,003.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $820.80 / $1,094.67 / $1,913.86	Professional		$820.80	$1,094.67	$1,913.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $509.64 / $7,909.30 / $7,909.30	Facility		$509.64	$7,909.30	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $640.82 / $2,164.80 / $3,371.12	Professional		$640.82	$2,164.80	$3,371.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,690.71 / $1,690.71 / $1,690.71	Professional		$1,690.71	$1,690.71	$1,690.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,496.18 / $2,309.91 / $2,309.91	Professional		$1,496.18	$2,309.91	$2,309.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.52 / $948.18 / $2,243.04	Professional		$433.52	$948.18	$2,243.04