Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.76 / $1,732.28 / $14,482.00	Facility		$517.76	$1,732.28	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.56 / $517.76 / $971.98	Professional		$444.56	$517.76	$971.98
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 $434.87 / $1,062.07 / $2,732.01	Professional		$434.87	$1,062.07	$2,732.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,229.13 / $1,436.33 / $2,203.37	Facility		$1,229.13	$1,436.33	$2,203.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.79 / $1,572.56 / $1,939.19	Professional		$529.79	$1,572.56	$1,939.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $449.72 / $604.79 / $1,020.00	Facility		$449.72	$604.79	$1,020.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $451.11 / $692.26 / $7,160.00	Facility		$451.11	$692.26	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $470.51 / $1,071.44 / $3,533.20	Professional		$470.51	$1,071.44	$3,533.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $423.96 / $1,022.77	Professional		$65.00	$423.96	$1,022.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $449.72 / $605.78 / $1,020.00	Facility		$449.72	$605.78	$1,020.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $884.40 / $1,179.49 / $1,961.78	Professional		$884.40	$1,179.49	$1,961.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $548.30 / $7,929.30 / $7,929.30	Facility		$548.30	$7,929.30	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $795.57 / $2,231.94 / $3,533.20	Professional		$795.57	$2,231.94	$3,533.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,718.33 / $1,718.33 / $1,718.33	Professional		$1,718.33	$1,718.33	$1,718.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,421.10 / $2,367.73 / $2,367.73	Professional		$1,421.10	$2,367.73	$2,367.73
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $7,012.14 / $8,384.00	Facility		$4,103.00	$7,012.14	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $452.76 / $882.88 / $2,022.15	Professional		$452.76	$882.88	$2,022.15