Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.97 / $1,389.06 / $14,482.00	Facility		$422.97	$1,389.06	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.02 / $857.68 / $3,007.77	Professional		$372.02	$857.68	$3,007.77
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 $560.34 / $1,651.22 / $5,362.52	Professional		$560.34	$1,651.22	$5,362.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,483.48 / $2,902.15 / $4,451.97	Facility		$2,483.48	$2,902.15	$4,451.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.13 / $1,433.95 / $3,806.33	Professional		$516.13	$1,433.95	$3,806.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $381.04 / $857.68 / $1,816.87	Facility		$381.04	$857.68	$1,816.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $381.04 / $904.60 / $5,620.00	Facility		$381.04	$904.60	$5,620.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,084.80 / $4,051.23 / $15,571.33	Professional		$1,084.80	$4,051.23	$15,571.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,405.91 / $2,438.30	Professional		$85.00	$1,405.91	$2,438.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $380.69 / $857.61 / $1,816.87	Facility		$380.69	$857.61	$1,816.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $860.66 / $1,682.51 / $3,025.24	Professional		$860.66	$1,682.51	$3,025.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $619.66 / $2,663.16 / $2,663.16	Facility		$619.66	$2,663.16	$2,663.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $610.62 / $3,604.41 / $15,571.33	Professional		$610.62	$3,604.41	$15,571.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.67 / $1,412.67 / $3,534.98	Professional		$1,412.67	$1,412.67	$3,534.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,557.27 / $2,969.42 / $4,647.50	Professional		$1,557.27	$2,969.42	$4,647.50
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 $1,016.85 / $3,263.17 / $5,449.00	Professional		$1,016.85	$3,263.17	$5,449.00