Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.08 / $1,291.97 / $14,482.00	Facility		$694.08	$1,291.97	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.03 / $694.08 / $1,765.85	Professional		$583.03	$694.08	$1,765.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,908.00 / $18,360.00	Facility		$6,538.00	$10,908.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.40 / $1,423.75 / $3,648.21	Professional		$594.40	$1,423.75	$3,648.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,640.94 / $1,917.57 / $2,941.60	Facility		$1,640.94	$1,917.57	$2,941.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.36 / $2,093.60 / $2,589.50	Professional		$762.36	$2,093.60	$2,589.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $594.71 / $805.50 / $1,828.80	Facility		$594.71	$805.50	$1,828.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $594.71 / $890.42 / $4,821.00	Facility		$594.71	$890.42	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $641.72 / $1,406.47 / $6,421.14	Professional		$641.72	$1,406.47	$6,421.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.47 / $486.16 / $1,302.35	Professional		$61.47	$486.16	$1,302.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $594.71 / $805.50 / $1,828.80	Facility		$594.71	$805.50	$1,828.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,141.20 / $1,521.98 / $2,619.67	Professional		$1,141.20	$1,521.98	$2,619.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $711.65 / $5,173.84 / $5,173.84	Facility		$711.65	$5,173.84	$5,173.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,002.48 / $2,971.50 / $6,421.14	Professional		$1,002.48	$2,971.50	$6,421.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,276.60 / $2,276.60 / $2,276.60	Professional		$2,276.60	$2,276.60	$2,276.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,087.25 / $3,161.78 / $3,161.78	Professional		$2,087.25	$3,161.78	$3,161.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $637.73 / $1,261.59 / $2,681.78	Professional		$637.73	$1,261.59	$2,681.78