Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.29 / $2,104.53 / $14,482.00	Facility		$630.29	$2,104.53	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.20 / $630.29 / $1,180.83	Professional		$505.20	$630.29	$1,180.83
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 $533.88 / $1,292.92 / $3,308.24	Professional		$533.88	$1,292.92	$3,308.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,486.85 / $1,737.50 / $2,665.37	Facility		$1,486.85	$1,737.50	$2,665.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.79 / $1,889.35 / $2,348.19	Professional		$645.79	$1,889.35	$2,348.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $551.22 / $707.49 / $1,140.30	Facility		$551.22	$707.49	$1,140.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $551.22 / $780.63 / $7,318.00	Facility		$551.22	$780.63	$7,318.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $555.53 / $1,295.28 / $4,281.28	Professional		$555.53	$1,295.28	$4,281.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $524.53 / $1,255.29	Professional		$65.50	$524.53	$1,255.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $546.74 / $703.20 / $1,161.80	Facility		$546.74	$703.20	$1,161.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,075.20 / $1,433.96 / $2,375.54	Professional		$1,075.20	$1,433.96	$2,375.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $666.60 / $7,929.30 / $7,929.30	Facility		$666.60	$7,929.30	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $932.52 / $2,681.60 / $4,281.28	Professional		$932.52	$2,681.60	$4,281.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,098.80 / $2,098.80 / $2,098.80	Professional		$2,098.80	$2,098.80	$2,098.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,421.10 / $2,867.16 / $2,867.16	Professional		$1,421.10	$2,867.16	$2,867.16
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 $548.53 / $1,131.61 / $2,778.51	Professional		$548.53	$1,131.61	$2,778.51