Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.53 / $1,219.93 / $14,482.00	Facility		$653.53	$1,219.93	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.14 / $653.53 / $1,720.98	Professional		$560.14	$653.53	$1,720.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $566.04 / $1,340.58 / $3,436.16	Professional		$566.04	$1,340.58	$3,436.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,541.82 / $1,801.73 / $2,763.91	Facility		$1,541.82	$1,801.73	$2,763.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $670.98 / $2,004.67 / $2,438.98	Professional		$670.98	$2,004.67	$2,438.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $573.45 / $735.85 / $1,220.84	Facility		$573.45	$735.85	$1,220.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $577.02 / $839.10 / $4,377.80	Facility		$577.02	$839.10	$4,377.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $605.04 / $1,349.33 / $4,646.20	Professional		$605.04	$1,349.33	$4,646.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $535.14 / $1,323.38	Professional		$65.50	$535.14	$1,323.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $573.45 / $738.16 / $1,220.84	Facility		$573.45	$738.16	$1,220.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,112.40 / $1,483.57 / $2,467.39	Professional		$1,112.40	$1,483.57	$2,467.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $691.19 / $5,690.88 / $5,690.88	Facility		$691.19	$5,690.88	$5,690.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,015.94 / $2,845.30 / $4,646.20	Professional		$1,015.94	$2,845.30	$4,646.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,175.46 / $2,175.46 / $2,175.46	Professional		$2,175.46	$2,175.46	$2,175.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,928.56 / $2,977.99 / $2,977.99	Professional		$1,928.56	$2,977.99	$2,977.99
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 $602.02 / $1,228.30 / $2,577.84	Professional		$602.02	$1,228.30	$2,577.84