Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.91 / $2,112.91 / $14,482.00	Facility		$635.91	$2,112.91	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.19 / $632.91 / $1,185.55	Professional		$494.19	$632.91	$1,185.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,038.00 / $15,579.70	Facility		$6,538.00	$10,038.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $551.75 / $1,304.45 / $3,336.02	Professional		$551.75	$1,304.45	$3,336.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,508.47 / $1,762.77 / $2,704.14	Facility		$1,508.47	$1,762.77	$2,704.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.57 / $1,913.75 / $2,367.89	Professional		$638.57	$1,913.75	$2,367.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $545.63 / $734.49 / $1,648.50	Facility		$545.63	$734.49	$1,648.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $545.63 / $802.21 / $12,855.00	Facility		$545.63	$802.21	$12,855.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $591.49 / $1,341.34 / $8,481.71	Professional		$591.49	$1,341.34	$8,481.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $492.34 / $1,211.97	Professional		$65.50	$492.34	$1,211.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $545.63 / $734.55 / $1,648.50	Facility		$545.63	$734.55	$1,648.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,053.00 / $1,404.35 / $2,395.48	Professional		$1,053.00	$1,404.35	$2,395.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $652.83 / $16,547.20 / $16,547.20	Facility		$652.83	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $802.09 / $2,833.90 / $8,481.71	Professional		$802.09	$2,833.90	$8,481.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,093.39 / $2,093.39 / $2,093.39	Professional		$2,093.39	$2,093.39	$2,093.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,842.82 / $2,891.23 / $2,891.23	Professional		$1,842.82	$2,891.23	$2,891.23
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,733.00 / $13,980.00	Facility		$5,266.00	$11,733.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $569.48 / $1,127.44 / $2,557.59	Professional		$569.48	$1,127.44	$2,557.59