Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.59 / $2,736.02 / $14,482.00	Facility		$829.59	$2,736.02	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.17 / $793.93 / $1,535.17	Professional		$678.17	$793.93	$1,535.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $8,436.00 / $15,579.70	Facility		$1,979.00	$8,436.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $706.96 / $1,701.72 / $4,343.76	Professional		$706.96	$1,701.72	$4,343.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,970.75 / $2,302.98 / $3,532.83	Facility		$1,970.75	$2,302.98	$3,532.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $791.02 / $2,360.29 / $3,076.93	Professional		$791.02	$2,360.29	$3,076.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $688.36 / $874.12 / $1,570.00	Facility		$688.36	$874.12	$1,570.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $688.36 / $989.74 / $12,855.00	Facility		$688.36	$989.74	$12,855.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $749.81 / $1,654.32 / $6,710.08	Professional		$749.81	$1,654.32	$6,710.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $638.74 / $1,578.96	Professional		$65.50	$638.74	$1,578.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $688.36 / $874.12 / $1,570.00	Facility		$688.36	$874.12	$1,570.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,346.40 / $1,795.65 / $3,112.78	Professional		$1,346.40	$1,795.65	$3,112.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $834.74 / $16,547.20 / $16,547.20	Facility		$834.74	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,042.25 / $3,495.15 / $6,710.08	Professional		$1,042.25	$3,495.15	$6,710.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,738.96 / $2,738.96 / $2,738.96	Professional		$2,738.96	$2,738.96	$2,738.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,480.16 / $3,756.92 / $3,756.92	Professional		$2,480.16	$3,756.92	$3,756.92
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 $747.05 / $1,398.06 / $3,154.37	Professional		$747.05	$1,398.06	$3,154.37