Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.08 / $1,115.57 / $14,482.00	Facility		$596.08	$1,115.57	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.21 / $596.08 / $1,569.42	Professional		$511.21	$596.08	$1,569.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,929.10 / $13,152.00	Facility		$5,060.00	$7,929.10	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.47 / $1,222.74 / $3,127.16	Professional		$509.47	$1,222.74	$3,127.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,404.85 / $1,641.67 / $2,518.37	Facility		$1,404.85	$1,641.67	$2,518.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.49 / $1,830.37 / $2,219.65	Professional		$611.49	$1,830.37	$2,219.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $523.23 / $660.70 / $1,119.66	Facility		$523.23	$660.70	$1,119.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $517.10 / $722.20 / $4,602.00	Facility		$517.10	$722.20	$4,602.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $528.85 / $1,229.64 / $4,050.16	Professional		$528.85	$1,229.64	$4,050.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $501.66 / $1,252.94	Professional		$65.00	$501.66	$1,252.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $523.23 / $669.34 / $1,150.90	Facility		$523.23	$669.34	$1,150.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,017.00 / $1,356.34 / $2,245.51	Professional		$1,017.00	$1,356.34	$2,245.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $630.51 / $3,882.60 / $3,882.60	Facility		$630.51	$3,882.60	$3,882.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $927.21 / $2,597.90 / $4,050.16	Professional		$927.21	$2,597.90	$4,050.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,988.15 / $1,988.15 / $1,988.15	Professional		$1,988.15	$1,988.15	$1,988.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,802.27 / $2,710.18 / $2,710.18	Professional		$1,802.27	$2,710.18	$2,710.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $525.70 / $1,137.88 / $2,353.69	Professional		$525.70	$1,137.88	$2,353.69