Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.49 / $1,378.51 / $14,482.00	Facility		$737.49	$1,378.51	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.80 / $737.49 / $1,968.56	Professional		$628.80	$737.49	$1,968.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,224.00 / $11,448.40	Facility		$5,169.00	$8,224.00	$11,448.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.87 / $1,512.79 / $3,889.81	Professional		$647.87	$1,512.79	$3,889.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,729.25 / $2,020.76 / $3,099.90	Facility		$1,729.25	$2,020.76	$3,099.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.22 / $2,288.23 / $2,750.01	Professional		$818.22	$2,288.23	$2,750.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $664.16 / $857.74 / $1,418.73	Facility		$664.16	$857.74	$1,418.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $664.16 / $964.96 / $4,821.00	Facility		$664.16	$964.96	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $713.93 / $1,587.85 / $9,818.02	Professional		$713.93	$1,587.85	$9,818.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $623.12 / $1,549.70	Professional		$65.50	$623.12	$1,549.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $664.16 / $855.52 / $1,418.73	Facility		$664.16	$855.52	$1,418.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,267.20 / $1,690.02 / $2,782.05	Professional		$1,267.20	$1,690.02	$2,782.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $791.88 / $6,449.36 / $6,449.36	Facility		$791.88	$6,449.36	$6,449.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,167.39 / $3,247.75 / $9,818.02	Professional		$1,167.39	$3,247.75	$9,818.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,452.69 / $2,452.69 / $2,452.69	Professional		$2,452.69	$2,452.69	$2,452.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,211.85 / $3,357.79 / $3,357.79	Professional		$2,211.85	$3,357.79	$3,357.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $664.29 / $1,299.09 / $3,365.12	Professional		$664.29	$1,299.09	$3,365.12