Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.03 / $2,368.98 / $14,482.00	Facility		$712.03	$2,368.98	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.58 / $712.03 / $1,898.16	Professional		$583.58	$712.03	$1,898.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,344.00 / $10,382.04	Facility		$5,169.00	$7,344.00	$10,382.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $583.30 / $1,460.57 / $3,756.43	Professional		$583.30	$1,460.57	$3,756.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,669.78 / $1,951.26 / $2,993.29	Facility		$1,669.78	$1,951.26	$2,993.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.88 / $2,210.92 / $2,654.65	Professional		$743.88	$2,210.92	$2,654.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $644.17 / $816.63 / $1,774.10	Facility		$644.17	$816.63	$1,774.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $644.17 / $904.89 / $9,558.29	Facility		$644.17	$904.89	$9,558.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $690.36 / $1,479.13 / $4,871.35	Professional		$690.36	$1,479.13	$4,871.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $576.86 / $1,423.97	Professional		$65.50	$576.86	$1,423.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $629.65 / $816.63 / $1,774.10	Facility		$629.65	$816.63	$1,774.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,221.00 / $1,628.41 / $2,679.61	Professional		$1,221.00	$1,628.41	$2,679.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $763.69 / $9,558.29 / $9,558.29	Facility		$763.69	$9,558.29	$9,558.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,094.80 / $3,258.00 / $4,871.35	Professional		$1,094.80	$3,258.00	$4,871.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,368.62 / $2,368.62 / $2,368.62	Professional		$2,368.62	$2,368.62	$2,368.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,076.03 / $3,241.33 / $3,241.33	Professional		$2,076.03	$3,241.33	$3,241.33
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,953.00 / $12,062.00	Facility		$4,240.00	$9,953.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $666.23 / $1,165.50 / $2,832.05	Professional		$666.23	$1,165.50	$2,832.05