Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.14 / $1,228.45 / $14,482.00	Facility		$603.14	$1,228.45	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $567.71 / $613.62 / $1,983.05	Professional		$567.71	$613.62	$1,983.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.20 / $1,553.39 / $4,067.76	Professional		$584.20	$1,553.39	$4,067.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,545.42 / $1,805.95 / $2,912.93	Facility		$1,545.42	$1,805.95	$2,912.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $813.52 / $1,864.81 / $2,473.92	Professional		$813.52	$1,864.81	$2,473.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $600.58 / $796.70 / $1,444.40	Facility		$600.58	$796.70	$1,444.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $603.14 / $4,103.00 / $8,783.00	Facility		$603.14	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $684.93 / $1,596.02 / $3,997.77	Professional		$684.93	$1,596.02	$3,997.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $487.55 / $1,285.17	Professional		$63.30	$487.55	$1,285.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $600.67 / $817.88 / $1,444.40	Facility		$600.67	$817.88	$1,444.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,169.34 / $1,805.66 / $2,407.71	Professional		$1,169.34	$1,805.66	$2,407.71
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 $831.01 / $2,901.85 / $9,677.00	Professional		$831.01	$2,901.85	$9,677.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,047.18 / $3,047.18 / $3,047.18	Professional		$3,047.18	$3,047.18	$3,047.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,831.74 / $3,526.09 / $3,526.09	Professional		$2,831.74	$3,526.09	$3,526.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,611.00 / $9,134.00	Facility		$4,918.00	$7,611.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $684.93 / $1,774.16 / $2,874.84	Professional		$684.93	$1,774.16	$2,874.84