Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.20 / $2,224.51 / $14,482.00	Facility		$676.20	$2,224.51	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.88 / $676.20 / $1,713.45	Professional		$564.88	$676.20	$1,713.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,982.00 / $10,598.00	Facility		$2,740.00	$4,982.00	$10,598.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $599.78 / $1,387.08 / $3,543.09	Professional		$599.78	$1,387.08	$3,543.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,598.59 / $1,868.08 / $2,865.68	Facility		$1,598.59	$1,868.08	$2,865.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.44 / $1,993.54 / $2,514.90	Professional		$687.44	$1,993.54	$2,514.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $591.96 / $788.08 / $1,781.13	Facility		$591.96	$788.08	$1,781.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $582.66 / $860.98 / $11,955.00	Facility		$582.66	$860.98	$11,955.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $636.15 / $1,397.29 / $5,901.04	Professional		$636.15	$1,397.29	$5,901.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $538.69 / $1,294.82	Professional		$65.00	$538.69	$1,294.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $582.66 / $776.64 / $1,781.13	Facility		$582.66	$776.64	$1,781.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,101.00 / $1,468.37 / $2,544.19	Professional		$1,101.00	$1,468.37	$2,544.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $686.32 / $7,909.30 / $7,909.30	Facility		$686.32	$7,909.30	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $851.87 / $2,952.10 / $5,901.04	Professional		$851.87	$2,952.10	$5,901.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,226.82 / $2,226.82 / $2,226.82	Professional		$2,226.82	$2,226.82	$2,226.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,060.51 / $3,070.70 / $3,070.70	Professional		$2,060.51	$3,070.70	$3,070.70
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,733.00 / $13,980.00	Facility		$7,217.00	$11,733.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $630.36 / $1,222.98 / $2,664.27	Professional		$630.36	$1,222.98	$2,664.27