Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.92 / $1,098.83 / $14,482.00	Facility		$573.92	$1,098.83	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.59 / $573.92 / $1,778.31	Professional		$539.59	$573.92	$1,778.31
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 $523.27 / $1,391.35 / $3,005.99	Professional		$523.27	$1,391.35	$3,005.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,384.12 / $1,617.45 / $2,608.90	Facility		$1,384.12	$1,617.45	$2,608.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $727.68 / $1,668.73 / $2,214.80	Professional		$727.68	$1,668.73	$2,214.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $537.21 / $682.50 / $1,050.00	Facility		$537.21	$682.50	$1,050.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $573.92 / $4,240.00 / $12,631.00	Facility		$573.92	$4,240.00	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $617.92 / $1,275.39 / $2,813.61	Professional		$617.92	$1,275.39	$2,813.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $434.25 / $1,124.17	Professional		$63.30	$434.25	$1,124.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $548.48 / $682.50 / $1,050.00	Facility		$548.48	$682.50	$1,050.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,045.20 / $1,613.95 / $1,901.14	Professional		$1,045.20	$1,613.95	$1,901.14
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 $743.64 / $2,596.35 / $3,983.12	Professional		$743.64	$2,596.35	$3,983.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,453.84 / $1,453.84 / $1,453.84	Professional		$1,453.84	$1,453.84	$1,453.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,537.39 / $2,583.52 / $2,583.52	Professional		$1,537.39	$2,583.52	$2,583.52
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,882.00 / $12,631.00	Facility		$6,241.00	$9,882.00	$12,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $604.52 / $1,492.48 / $2,467.80	Professional		$604.52	$1,492.48	$2,467.80