Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.65 / $1,309.75 / $14,482.00	Facility		$704.65	$1,309.75	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $591.75 / $704.65 / $1,796.90	Professional		$591.75	$704.65	$1,796.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,955.00 / $13,152.00	Facility		$5,060.00	$7,955.00	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $605.29 / $1,445.43 / $3,702.61	Professional		$605.29	$1,445.43	$3,702.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,663.47 / $1,943.89 / $2,981.98	Facility		$1,663.47	$1,943.89	$2,981.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.87 / $2,131.16 / $2,628.13	Professional		$757.87	$2,131.16	$2,628.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $623.22 / $847.41 / $1,650.00	Facility		$623.22	$847.41	$1,650.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $604.63 / $919.35 / $4,821.00	Facility		$604.63	$919.35	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $650.90 / $1,431.70 / $4,761.84	Professional		$650.90	$1,431.70	$4,761.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $551.41 / $1,364.83	Professional		$65.50	$551.41	$1,364.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $623.22 / $847.41 / $1,575.00	Facility		$623.22	$847.41	$1,575.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,156.80 / $1,542.79 / $2,658.74	Professional		$1,156.80	$1,542.79	$2,658.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $723.86 / $5,254.20 / $5,254.20	Facility		$723.86	$5,254.20	$5,254.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,016.58 / $3,024.80 / $4,761.84	Professional		$1,016.58	$3,024.80	$4,761.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,312.39 / $2,312.39 / $2,312.39	Professional		$2,312.39	$2,312.39	$2,312.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,115.96 / $3,208.95 / $3,208.95	Professional		$2,115.96	$3,208.95	$3,208.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $630.35 / $1,179.67 / $2,729.88	Professional		$630.35	$1,179.67	$2,729.88