Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.64 / $1,342.69 / $14,482.00	Facility		$717.64	$1,342.69	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.98 / $717.64 / $1,889.56	Professional		$576.98	$717.64	$1,889.56
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 $613.37 / $1,448.40 / $3,793.65	Professional		$613.37	$1,448.40	$3,793.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,689.60 / $1,974.43 / $3,028.83	Facility		$1,689.60	$1,974.43	$3,028.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.62 / $2,201.09 / $2,672.38	Professional		$737.62	$2,201.09	$2,672.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $626.28 / $812.62 / $1,337.50	Facility		$626.28	$812.62	$1,337.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $626.28 / $895.41 / $4,675.74	Facility		$626.28	$895.41	$4,675.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.74 / $1,478.68 / $4,878.32	Professional		$660.74	$1,478.68	$4,878.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $591.13 / $1,432.94	Professional		$65.50	$591.13	$1,432.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $626.28 / $814.17 / $1,337.50	Facility		$626.28	$814.17	$1,337.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,224.59 / $1,633.21 / $2,703.51	Professional		$1,224.59	$1,633.21	$2,703.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $759.22 / $4,675.74 / $4,675.74	Facility		$759.22	$4,675.74	$4,675.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,058.31 / $3,124.05 / $4,878.32	Professional		$1,058.31	$3,124.05	$4,878.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,392.09 / $2,392.09 / $2,392.09	Professional		$2,392.09	$2,392.09	$2,392.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,073.00 / $3,262.95 / $3,262.95	Professional		$2,073.00	$3,262.95	$3,262.95
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 $635.36 / $1,345.48 / $3,322.50	Professional		$635.36	$1,345.48	$3,322.50