Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.16 / $1,137.92 / $14,482.00	Facility		$562.16	$1,137.92	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.65 / $577.04 / $1,879.76	Professional		$525.65	$577.04	$1,879.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.16 / $1,389.85 / $3,805.41	Professional		$555.16	$1,389.85	$3,805.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,421.97 / $1,661.68 / $2,680.23	Facility		$1,421.97	$1,661.68	$2,680.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $753.56 / $1,728.45 / $2,274.92	Professional		$753.56	$1,728.45	$2,274.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $505.74 / $657.73 / $1,105.16	Facility		$505.74	$657.73	$1,105.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $556.30 / $1,957.00 / $4,793.00	Facility		$556.30	$1,957.00	$4,793.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $658.81 / $1,514.04 / $3,806.46	Professional		$658.81	$1,514.04	$3,806.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $759.57 / $1,265.18	Professional		$85.00	$759.57	$1,265.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $505.74 / $657.73 / $1,105.16	Facility		$505.74	$657.73	$1,105.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,086.80 / $1,678.19 / $2,292.51	Professional		$1,086.80	$1,678.19	$2,292.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $9,388.90 / $9,388.90	Facility		$9,388.90	$9,388.90	$9,388.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $770.26 / $2,752.80 / $4,150.80	Professional		$770.26	$2,752.80	$4,150.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,850.68 / $2,850.68 / $2,850.68	Professional		$2,850.68	$2,850.68	$2,850.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,684.25 / $3,268.36 / $3,268.36	Professional		$2,684.25	$3,268.36	$3,268.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $639.01 / $1,622.62 / $2,679.48	Professional		$639.01	$1,622.62	$2,679.48