Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.04 / $1,119.80 / $14,482.00	Facility		$396.04	$1,119.80	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.14 / $500.44 / $1,036.79	Professional		$340.14	$500.44	$1,036.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.96 / $1,051.08 / $2,837.55	Professional		$445.96	$1,051.08	$2,837.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,467.02 / $1,714.33 / $2,629.83	Facility		$1,467.02	$1,714.33	$2,629.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.26 / $1,093.80 / $2,278.60	Professional		$489.26	$1,093.80	$2,278.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $363.51 / $573.84 / $1,047.75	Facility		$363.51	$573.84	$1,047.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $367.89 / $597.23 / $3,036.00	Facility		$367.89	$597.23	$3,036.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $525.08 / $1,676.58 / $4,072.48	Professional		$525.08	$1,676.58	$4,072.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $498.17 / $1,215.14	Professional		$50.00	$498.17	$1,215.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $363.51 / $558.40 / $1,070.03	Facility		$363.51	$558.40	$1,070.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $791.29 / $1,235.54 / $1,853.30	Professional		$791.29	$1,235.54	$1,853.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $604.02 / $2,533.56 / $7,909.30	Facility		$604.02	$2,533.56	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $551.92 / $2,331.05 / $4,072.48	Professional		$551.92	$2,331.05	$4,072.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,295.18 / $1,295.18 / $2,028.90	Professional		$1,295.18	$1,295.18	$2,028.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,308.94 / $1,808.63 / $2,782.20	Professional		$1,308.94	$1,808.63	$2,782.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $497.69 / $1,085.46 / $2,235.06	Professional		$497.69	$1,085.46	$2,235.06