Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.71 / $1,020.67 / $14,482.00	Facility		$543.71	$1,020.67	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.69 / $543.71 / $1,020.67	Professional		$444.69	$543.71	$1,020.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $8,918.76	Facility		$2,740.00	$4,931.00	$8,918.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.71 / $1,115.30 / $2,871.83	Professional		$464.71	$1,115.30	$2,871.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,287.70 / $1,504.78 / $2,308.37	Facility		$1,287.70	$1,504.78	$2,308.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.79 / $1,655.68 / $2,028.26	Professional		$555.79	$1,655.68	$2,028.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $473.67 / $580.65 / $1,006.82	Facility		$473.67	$580.65	$1,006.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $480.88 / $677.85 / $10,568.00	Facility		$480.88	$677.85	$10,568.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $504.35 / $1,029.28 / $3,688.64	Professional		$504.35	$1,029.28	$3,688.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $438.26 / $1,067.77	Professional		$65.50	$438.26	$1,067.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $473.67 / $586.67 / $1,006.82	Facility		$473.67	$586.67	$1,006.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $926.40 / $1,235.51 / $2,051.90	Professional		$926.40	$1,235.51	$2,051.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $574.34 / $7,929.30 / $7,929.30	Facility		$574.34	$7,929.30	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $773.35 / $2,349.94 / $3,688.64	Professional		$773.35	$2,349.94	$3,688.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,810.81 / $1,810.81 / $1,810.81	Professional		$1,810.81	$1,810.81	$1,810.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,615.98 / $2,476.48 / $2,476.48	Professional		$1,615.98	$2,476.48	$2,476.48
United Facility/Professional Facility Modifier Low / Median / High Price $5,484.78 / $9,882.00 / $12,631.00	Facility		$5,484.78	$9,882.00	$12,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $508.15 / $1,029.28 / $2,434.88	Professional		$508.15	$1,029.28	$2,434.88