Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.26 / $1,202.56 / $14,482.00	Facility		$590.26	$1,202.56	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.70 / $600.17 / $1,940.79	Professional		$555.70	$600.17	$1,940.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $8,456.00	Facility		$2,740.00	$4,780.00	$8,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $571.35 / $1,519.27 / $3,979.27	Professional		$571.35	$1,519.27	$3,979.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.88 / $1,769.09 / $2,853.48	Facility		$1,513.88	$1,769.09	$2,853.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.35 / $1,825.52 / $2,422.39	Professional		$796.35	$1,825.52	$2,422.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $587.91 / $780.26 / $1,648.50	Facility		$587.91	$780.26	$1,648.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $590.26 / $5,237.91 / $14,978.00	Facility		$590.26	$5,237.91	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $669.92 / $1,561.09 / $3,909.95	Professional		$669.92	$1,561.09	$3,909.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $485.00 / $1,224.36	Professional		$63.30	$485.00	$1,224.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $588.25 / $799.89 / $1,648.50	Facility		$588.25	$799.89	$1,648.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,144.65 / $1,767.52 / $2,354.82	Professional		$1,144.65	$1,767.52	$2,354.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,784.22 / $4,784.22 / $4,784.22	Facility		$4,784.22	$4,784.22	$4,784.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $813.52 / $2,986.50 / $11,060.00	Professional		$813.52	$2,986.50	$11,060.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,980.89 / $2,980.89 / $2,980.89	Professional		$2,980.89	$2,980.89	$2,980.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,771.40 / $3,451.86 / $3,451.86	Professional		$2,771.40	$3,451.86	$3,451.86
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $606.30 / $1,592.20 / $2,813.48	Professional		$606.30	$1,592.20	$2,813.48