Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.24 / $2,040.57 / $14,482.00	Facility		$611.24	$2,040.57	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.39 / $611.24 / $1,605.50	Professional		$523.39	$611.24	$1,605.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $7,344.00	Facility		$2,740.00	$4,931.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.42 / $1,253.83 / $3,230.48	Professional		$522.42	$1,253.83	$3,230.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,442.69 / $1,685.90 / $2,586.21	Facility		$1,442.69	$1,685.90	$2,586.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $622.70 / $1,875.34 / $2,278.34	Professional		$622.70	$1,875.34	$2,278.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $535.35 / $677.31 / $1,134.92	Facility		$535.35	$677.31	$1,134.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $535.35 / $778.16 / $7,318.00	Facility		$535.35	$778.16	$7,318.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $541.79 / $1,247.83 / $4,155.84	Professional		$541.79	$1,247.83	$4,155.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $522.26 / $1,255.29	Professional		$65.50	$522.26	$1,255.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $530.27 / $686.17 / $1,134.92	Facility		$530.27	$686.17	$1,134.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,042.80 / $1,390.75 / $2,304.88	Professional		$1,042.80	$1,390.75	$2,304.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $646.51 / $7,929.30 / $7,929.30	Facility		$646.51	$7,929.30	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $925.72 / $2,661.70 / $4,155.84	Professional		$925.72	$2,661.70	$4,155.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,036.96 / $2,036.96 / $2,036.96	Professional		$2,036.96	$2,036.96	$2,036.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,816.48 / $2,781.87 / $2,781.87	Professional		$1,816.48	$2,781.87	$2,781.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,754.00 / $8,384.00	Facility		$4,103.00	$6,754.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $541.74 / $1,165.82 / $2,402.17	Professional		$541.74	$1,165.82	$2,402.17