Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.29 / $1,130.40 / $14,482.00	Facility		$603.29	$1,130.40	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.12 / $603.29 / $1,593.09	Professional		$516.12	$603.29	$1,593.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $3,168.00 / $5,962.00	Facility		$1,139.00	$3,168.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.70 / $1,237.55 / $3,178.55	Professional		$526.70	$1,237.55	$3,178.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,423.77 / $1,663.79 / $2,552.29	Facility		$1,423.77	$1,663.79	$2,552.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $672.87 / $1,858.54 / $2,255.06	Professional		$672.87	$1,858.54	$2,255.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $546.21 / $728.36 / $1,279.55	Facility		$546.21	$728.36	$1,279.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $544.03 / $793.42 / $4,377.80	Facility		$544.03	$793.42	$4,377.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $580.34 / $1,304.89 / $4,125.20	Professional		$580.34	$1,304.89	$4,125.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.47 / $454.56 / $1,250.35	Professional		$61.47	$454.56	$1,250.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $546.21 / $728.36 / $1,279.55	Facility		$546.21	$728.36	$1,279.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,034.40 / $1,379.54 / $2,281.34	Professional		$1,034.40	$1,379.54	$2,281.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $642.88 / $4,613.35 / $4,613.35	Facility		$642.88	$4,613.35	$4,613.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $943.49 / $2,637.90 / $4,125.20	Professional		$943.49	$2,637.90	$4,125.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,004.24 / $2,004.24 / $2,004.24	Professional		$2,004.24	$2,004.24	$2,004.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,826.22 / $2,753.42 / $2,753.42	Professional		$1,826.22	$2,753.42	$2,753.42
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 $577.75 / $1,049.46 / $2,380.69	Professional		$577.75	$1,049.46	$2,380.69