Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.84 / $2,442.17 / $14,482.00	Facility		$745.84	$2,442.17	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.03 / $745.84 / $1,860.99	Professional		$614.03	$745.84	$1,860.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $8,436.00 / $15,579.70	Facility		$1,183.00	$8,436.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $637.47 / $1,529.93 / $3,919.85	Professional		$637.47	$1,529.93	$3,919.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,767.10 / $2,064.98 / $3,167.75	Facility		$1,767.10	$2,064.98	$3,167.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $723.88 / $2,147.96 / $2,755.03	Professional		$723.88	$2,147.96	$2,755.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $622.59 / $794.29 / $1,309.39	Facility		$622.59	$794.29	$1,309.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $622.59 / $900.96 / $13,120.00	Facility		$622.59	$900.96	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $653.45 / $1,399.53 / $4,939.28	Professional		$653.45	$1,399.53	$4,939.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $433.69 / $1,309.23	Professional		$65.00	$433.69	$1,309.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $620.83 / $786.12 / $1,309.39	Facility		$620.83	$786.12	$1,309.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,201.20 / $1,602.00 / $2,787.12	Professional		$1,201.20	$1,602.00	$2,787.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $746.39 / $20,973.00 / $20,973.00	Facility		$746.39	$20,973.00	$20,973.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $933.22 / $3,180.75 / $4,939.28	Professional		$933.22	$3,180.75	$4,939.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,471.67 / $2,471.67 / $2,471.67	Professional		$2,471.67	$2,471.67	$2,471.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,213.79 / $3,363.91 / $3,363.91	Professional		$2,213.79	$3,363.91	$3,363.91
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $11,799.00 / $14,978.00	Facility		$4,635.00	$11,799.00	$14,978.00
United Facility/Professional Professional Modifier Low / Median / High Price $647.58 / $1,332.84 / $2,870.63	Professional		$647.58	$1,332.84	$2,870.63