Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.35 / $1,199.72 / $14,482.00	Facility		$589.35	$1,199.72	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.30 / $604.84 / $1,965.43	Professional		$554.30	$604.84	$1,965.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $571.55 / $1,538.24 / $3,978.94	Professional		$571.55	$1,538.24	$3,978.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,508.47 / $1,762.77 / $2,843.29	Facility		$1,508.47	$1,762.77	$2,843.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.48 / $1,821.53 / $2,413.80	Professional		$794.48	$1,821.53	$2,413.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $586.53 / $777.53 / $1,413.00	Facility		$586.53	$777.53	$1,413.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $589.35 / $5,266.00 / $14,978.00	Facility		$589.35	$5,266.00	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.52 / $1,561.51 / $3,924.04	Professional		$676.52	$1,561.51	$3,924.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $441.91 / $1,221.77	Professional		$53.80	$441.91	$1,221.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $587.41 / $800.18 / $1,413.00	Facility		$587.41	$800.18	$1,413.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,142.70 / $1,764.50 / $2,363.30	Professional		$1,142.70	$1,764.50	$2,363.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,899.50 / $10,899.50 / $10,899.50	Facility		$10,899.50	$10,899.50	$10,899.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $811.73 / $2,839.10 / $5,164.00	Professional		$811.73	$2,839.10	$5,164.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,980.67 / $2,980.67 / $2,980.67	Professional		$2,980.67	$2,980.67	$2,980.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,806.57 / $3,444.34 / $3,444.34	Professional		$2,806.57	$3,444.34	$3,444.34
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 $668.14 / $1,735.77 / $2,809.15	Professional		$668.14	$1,735.77	$2,809.15