Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.22 / $2,187.17 / $14,482.00	Facility		$655.22	$2,187.17	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.82 / $655.22 / $1,742.33	Professional		$545.82	$655.22	$1,742.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,139.00 / $10,914.00	Facility		$5,169.00	$8,139.00	$10,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $578.04 / $1,344.05 / $3,454.71	Professional		$578.04	$1,344.05	$3,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,541.82 / $1,801.73 / $2,763.91	Facility		$1,541.82	$1,801.73	$2,763.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $717.85 / $2,035.80 / $2,448.08	Professional		$717.85	$2,035.80	$2,448.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $592.24 / $766.61 / $1,276.00	Facility		$592.24	$766.61	$1,276.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $592.24 / $859.76 / $9,558.29	Facility		$592.24	$859.76	$9,558.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $635.67 / $1,371.32 / $5,178.08	Professional		$635.67	$1,371.32	$5,178.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.47 / $482.06 / $1,326.90	Professional		$61.47	$482.06	$1,326.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $578.30 / $766.61 / $1,276.00	Facility		$578.30	$766.61	$1,276.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,125.59 / $1,501.18 / $2,476.60	Professional		$1,125.59	$1,501.18	$2,476.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $702.41 / $9,558.29 / $9,558.29	Facility		$702.41	$9,558.29	$9,558.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,036.88 / $2,889.45 / $5,178.08	Professional		$1,036.88	$2,889.45	$5,178.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,178.35 / $2,178.35 / $2,178.35	Professional		$2,178.35	$2,178.35	$2,178.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,901.93 / $2,989.08 / $2,989.08	Professional		$1,901.93	$2,989.08	$2,989.08
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 $620.35 / $1,265.58 / $2,607.73	Professional		$620.35	$1,265.58	$2,607.73