Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.29 / $1,814.65 / $14,482.00	Facility		$552.29	$1,814.65	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.03 / $552.29 / $1,388.09	Professional		$460.03	$552.29	$1,388.09
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 $489.65 / $1,132.91 / $2,893.96	Professional		$489.65	$1,132.91	$2,893.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,310.23 / $1,531.11 / $2,348.76	Facility		$1,310.23	$1,531.11	$2,348.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $573.84 / $1,622.95 / $2,054.13	Professional		$573.84	$1,622.95	$2,054.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $477.36 / $646.19 / $1,245.75	Facility		$477.36	$646.19	$1,245.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $475.79 / $703.75 / $12,855.00	Facility		$475.79	$703.75	$12,855.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $516.80 / $1,137.53 / $4,794.81	Professional		$516.80	$1,137.53	$4,794.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $442.46 / $1,073.39	Professional		$65.50	$442.46	$1,073.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $475.91 / $636.54 / $1,287.49	Facility		$475.91	$636.54	$1,287.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $895.20 / $1,193.90 / $2,078.06	Professional		$895.20	$1,193.90	$2,078.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $558.49 / $16,547.20 / $16,547.20	Facility		$558.49	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $695.80 / $2,403.30 / $4,794.81	Professional		$695.80	$2,403.30	$4,794.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,816.08 / $1,816.08 / $1,816.08	Professional		$1,816.08	$1,816.08	$1,816.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,644.95 / $2,508.11 / $2,508.11	Professional		$1,644.95	$2,508.11	$2,508.11
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,799.00 / $13,980.00	Facility		$7,301.00	$11,799.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $497.41 / $1,003.55 / $2,177.39	Professional		$497.41	$1,003.55	$2,177.39