Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.94 / $2,153.33 / $14,482.00	Facility		$645.94	$2,153.33	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.24 / $645.94 / $1,744.94	Professional		$551.24	$645.94	$1,744.94
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 $569.89 / $1,325.01 / $3,403.08	Professional		$569.89	$1,325.01	$3,403.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,516.59 / $1,772.25 / $2,718.68	Facility		$1,516.59	$1,772.25	$2,718.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.33 / $2,006.04 / $2,410.30	Professional		$666.33	$2,006.04	$2,410.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $584.11 / $755.75 / $1,257.00	Facility		$584.11	$755.75	$1,257.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $584.11 / $861.73 / $9,558.29	Facility		$584.11	$861.73	$9,558.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $626.40 / $1,364.58 / $4,724.88	Professional		$626.40	$1,364.58	$4,724.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $529.22 / $1,259.86	Professional		$65.50	$529.22	$1,259.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $583.94 / $755.75 / $1,257.00	Facility		$583.94	$755.75	$1,257.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,109.40 / $1,479.57 / $2,438.38	Professional		$1,109.40	$1,479.57	$2,438.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $692.27 / $9,558.29 / $9,558.29	Facility		$692.27	$9,558.29	$9,558.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,022.39 / $2,847.25 / $4,724.88	Professional		$1,022.39	$2,847.25	$4,724.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,145.81 / $2,145.81 / $2,145.81	Professional		$2,145.81	$2,145.81	$2,145.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,989.54 / $2,942.94 / $2,942.94	Professional		$1,989.54	$2,942.94	$2,942.94
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,953.00 / $12,062.00	Facility		$6,241.00	$9,953.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $598.09 / $1,138.90 / $2,569.64	Professional		$598.09	$1,138.90	$2,569.64