Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.92 / $1,003.68 / $14,482.00	Facility		$491.92	$1,003.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.20 / $502.43 / $1,623.38	Professional		$463.20	$502.43	$1,623.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $477.37 / $1,270.69 / $3,316.09	Professional		$477.37	$1,270.69	$3,316.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,263.36 / $1,476.35 / $2,381.30	Facility		$1,263.36	$1,476.35	$2,381.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.67 / $1,523.56 / $2,022.95	Professional		$664.67	$1,523.56	$2,022.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $490.69 / $650.16 / $980.92	Facility		$490.69	$650.16	$980.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $491.92 / $4,240.00 / $12,631.00	Facility		$491.92	$4,240.00	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $561.66 / $1,302.54 / $3,270.20	Professional		$561.66	$1,302.54	$3,270.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $440.23 / $1,043.52	Professional		$57.73	$440.23	$1,043.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $490.69 / $668.32 / $980.92	Facility		$490.69	$668.32	$980.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $955.50 / $1,475.44 / $1,969.52	Professional		$955.50	$1,475.44	$1,969.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,302.50 / $14,302.50 / $14,302.50	Facility		$14,302.50	$14,302.50	$14,302.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $678.95 / $2,368.25 / $4,505.85	Professional		$678.95	$2,368.25	$4,505.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,484.13 / $2,484.13 / $2,484.13	Professional		$2,484.13	$2,484.13	$2,484.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,318.14 / $2,880.86 / $2,880.86	Professional		$2,318.14	$2,880.86	$2,880.86
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $551.86 / $1,391.72 / $2,344.77	Professional		$551.86	$1,391.72	$2,344.77