Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.23 / $2,210.51 / $14,482.00	Facility		$663.23	$2,210.51	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $567.77 / $663.23 / $1,753.01	Professional		$567.77	$663.23	$1,753.01
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 $566.86 / $1,360.46 / $3,506.38	Professional		$566.86	$1,360.46	$3,506.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,558.94 / $1,821.74 / $2,794.60	Facility		$1,558.94	$1,821.74	$2,794.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $677.51 / $2,049.17 / $2,468.75	Professional		$677.51	$2,049.17	$2,468.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $572.90 / $705.60 / $1,251.70	Facility		$572.90	$705.60	$1,251.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $810.35 / $7,318.00	Facility		$576.00	$810.35	$7,318.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $604.54 / $1,376.63 / $4,513.20	Professional		$604.54	$1,376.63	$4,513.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $554.61 / $1,336.83	Professional		$65.50	$554.61	$1,336.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $567.77 / $723.98 / $1,251.70	Facility		$567.77	$723.98	$1,251.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,132.80 / $1,510.78 / $2,497.52	Professional		$1,132.80	$1,510.78	$2,497.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $702.40 / $7,929.30 / $7,929.30	Facility		$702.40	$7,929.30	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,038.83 / $2,908.45 / $4,513.20	Professional		$1,038.83	$2,908.45	$4,513.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,210.94 / $2,210.94 / $2,210.94	Professional		$2,210.94	$2,210.94	$2,210.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,003.79 / $3,014.36 / $3,014.36	Professional		$2,003.79	$3,014.36	$3,014.36
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,280.00 / $8,384.00	Facility		$4,918.00	$7,280.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $591.79 / $1,126.80 / $2,624.88	Professional		$591.79	$1,126.80	$2,624.88