Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.28 / $1,766.86 / $14,482.00	Facility		$742.28	$1,766.86	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.21 / $842.24 / $1,892.51	Professional		$635.21	$842.24	$1,892.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $8,746.00 / $15,579.70	Facility		$5,479.00	$8,746.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $774.00 / $1,858.67 / $4,704.54	Professional		$774.00	$1,858.67	$4,704.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,283.44 / $2,668.38 / $4,093.36	Facility		$2,283.44	$2,668.38	$4,093.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.48 / $1,776.55 / $3,428.99	Professional		$840.48	$1,776.55	$3,428.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $656.22 / $894.90 / $1,455.59	Facility		$656.22	$894.90	$1,455.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $661.83 / $942.32 / $5,080.00	Facility		$661.83	$942.32	$5,080.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $876.65 / $2,828.94 / $6,428.80	Professional		$876.65	$2,828.94	$6,428.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $767.55 / $1,818.79	Professional		$65.50	$767.55	$1,818.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $635.17 / $893.21 / $1,455.59	Facility		$635.17	$893.21	$1,455.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,396.98 / $2,040.63 / $2,937.80	Professional		$1,396.98	$2,040.63	$2,937.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,137.56 / $4,739.76 / $16,547.20	Facility		$1,137.56	$4,739.76	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $936.88 / $3,656.66 / $6,428.80	Professional		$936.88	$3,656.66	$6,428.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,435.53 / $2,435.53 / $3,166.75	Professional		$2,435.53	$2,435.53	$3,166.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,532.73 / $3,377.06 / $4,364.29	Professional		$2,532.73	$3,377.06	$4,364.29
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 $857.85 / $1,683.84 / $3,624.83	Professional		$857.85	$1,683.84	$3,624.83