Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.19 / $1,680.23 / $14,482.00	Facility		$900.19	$1,680.23	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $736.90 / $900.19 / $1,618.98	Professional		$736.90	$900.19	$1,618.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $790.41 / $1,846.55 / $4,751.58	Professional		$790.41	$1,846.55	$4,751.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,105.92 / $2,460.92 / $3,775.13	Facility		$2,105.92	$2,460.92	$3,775.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $940.75 / $2,778.55 / $3,354.84	Professional		$940.75	$2,778.55	$3,354.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $799.47 / $999.99 / $1,638.56	Facility		$799.47	$999.99	$1,638.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $799.47 / $1,106.57 / $4,821.00	Facility		$799.47	$1,106.57	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $868.88 / $1,935.73 / $6,168.56	Professional		$868.88	$1,935.73	$6,168.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $758.16 / $1,818.33	Professional		$65.00	$758.16	$1,818.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $798.00 / $999.99 / $1,638.56	Facility		$798.00	$999.99	$1,638.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,547.40 / $2,063.71 / $3,393.93	Professional		$1,547.40	$2,063.71	$3,393.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $970.76 / $7,882.40 / $7,882.40	Facility		$970.76	$7,882.40	$7,882.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,409.30 / $3,943.65 / $6,168.56	Professional		$1,409.30	$3,943.65	$6,168.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,996.10 / $2,996.10 / $2,996.10	Professional		$2,996.10	$2,996.10	$2,996.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,815.85 / $4,096.26 / $4,096.26	Professional		$1,815.85	$4,096.26	$4,096.26
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 $853.16 / $1,595.72 / $3,559.14	Professional		$853.16	$1,595.72	$3,559.14