Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.11 / $1,153.67 / $14,482.00	Facility		$566.11	$1,153.67	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.12 / $575.05 / $1,857.84	Professional		$533.12	$575.05	$1,857.84
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 $547.58 / $1,453.67 / $3,814.07	Professional		$547.58	$1,453.67	$3,814.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,452.61 / $1,697.48 / $2,737.98	Facility		$1,452.61	$1,697.48	$2,737.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.98 / $1,752.19 / $2,326.46	Professional		$763.98	$1,752.19	$2,326.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $549.50 / $630.00 / $1,102.39	Facility		$549.50	$630.00	$1,102.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $564.01 / $4,240.00 / $12,631.00	Facility		$564.01	$4,240.00	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $644.90 / $1,495.26 / $3,745.17	Professional		$644.90	$1,495.26	$3,745.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $423.52 / $1,162.63	Professional		$58.40	$423.52	$1,162.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $549.50 / $630.00 / $1,102.39	Facility		$549.50	$630.00	$1,102.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,097.84 / $1,695.25 / $2,255.58	Professional		$1,097.84	$1,695.25	$2,255.58
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 $780.84 / $2,718.65 / $4,183.20	Professional		$780.84	$2,718.65	$4,183.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,857.13 / $2,857.13 / $2,857.13	Professional		$2,857.13	$2,857.13	$2,857.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,652.94 / $3,313.22 / $3,313.22	Professional		$2,652.94	$3,313.22	$3,313.22
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 $614.54 / $1,662.95 / $2,698.37	Professional		$614.54	$1,662.95	$2,698.37