Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.21 / $1,858.88 / $14,482.00	Facility		$562.21	$1,858.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.63 / $562.21 / $1,043.01	Professional		$471.63	$562.21	$1,043.01
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 $491.69 / $1,153.26 / $2,951.09	Professional		$491.69	$1,153.26	$2,951.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,327.35 / $1,551.11 / $2,379.44	Facility		$1,327.35	$1,551.11	$2,379.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.26 / $1,645.67 / $2,094.69	Professional		$578.26	$1,645.67	$2,094.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $427.55 / $562.21 / $996.65	Facility		$427.55	$562.21	$996.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $463.56 / $665.56 / $4,792.00	Facility		$463.56	$665.56	$4,792.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $526.87 / $1,153.46 / $3,793.76	Professional		$526.87	$1,153.46	$3,793.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $456.31 / $1,132.08	Professional		$65.50	$456.31	$1,132.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $427.55 / $562.21 / $996.65	Facility		$427.55	$562.21	$996.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $921.60 / $1,229.10 / $2,119.09	Professional		$921.60	$1,229.10	$2,119.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $576.29 / $7,909.30 / $7,909.30	Facility		$576.29	$7,909.30	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $709.54 / $2,436.94 / $3,793.76	Professional		$709.54	$2,436.94	$3,793.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,847.26 / $1,847.26 / $1,847.26	Professional		$1,847.26	$1,847.26	$1,847.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,685.04 / $2,557.63 / $2,557.63	Professional		$1,685.04	$2,557.63	$2,557.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,912.00 / $6,072.00	Facility		$2,976.00	$3,912.00	$6,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.48 / $1,021.26 / $2,207.88	Professional		$507.48	$1,021.26	$2,207.88