Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.17 / $1,217.68 / $14,482.00	Facility		$651.17	$1,217.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.55 / $651.17 / $1,731.13	Professional		$538.55	$651.17	$1,731.13
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 $571.58 / $1,335.74 / $3,435.35	Professional		$571.58	$1,335.74	$3,435.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,531.00 / $1,789.10 / $2,744.52	Facility		$1,531.00	$1,789.10	$2,744.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $765.66 / $2,017.57 / $2,430.69	Professional		$765.66	$2,017.57	$2,430.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $588.58 / $774.20 / $1,246.10	Facility		$588.58	$774.20	$1,246.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $581.67 / $889.00 / $4,821.00	Facility		$581.67	$889.00	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $625.65 / $1,427.32 / $4,535.58	Professional		$625.65	$1,427.32	$4,535.58
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 $588.58 / $790.94 / $1,246.10	Facility		$588.58	$790.94	$1,246.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,117.20 / $1,489.97 / $2,459.03	Professional		$1,117.20	$1,489.97	$2,459.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $697.07 / $5,692.96 / $5,692.96	Facility		$697.07	$5,692.96	$5,692.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,027.59 / $2,863.60 / $4,535.58	Professional		$1,027.59	$2,863.60	$4,535.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,166.17 / $2,166.17 / $2,166.17	Professional		$2,166.17	$2,166.17	$2,166.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,912.82 / $2,967.89 / $2,967.89	Professional		$1,912.82	$2,967.89	$2,967.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $581.96 / $1,139.25 / $2,584.40	Professional		$581.96	$1,139.25	$2,584.40