Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.86 / $1,174.11 / $14,482.00	Facility		$613.86	$1,174.11	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.12 / $613.86 / $2,092.54	Professional		$577.12	$613.86	$2,092.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $559.91 / $1,488.73 / $3,208.89	Professional		$559.91	$1,488.73	$3,208.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,477.84 / $1,726.97 / $2,785.54	Facility		$1,477.84	$1,726.97	$2,785.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $777.53 / $1,783.16 / $2,366.55	Professional		$777.53	$1,783.16	$2,366.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $574.01 / $783.87 / $1,121.93	Facility		$574.01	$783.87	$1,121.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $613.86 / $4,240.00 / $11,598.00	Facility		$613.86	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $659.36 / $1,364.83 / $3,012.68	Professional		$659.36	$1,364.83	$3,012.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $485.00 / $1,224.36	Professional		$63.30	$485.00	$1,224.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $613.86 / $817.85 / $1,121.93	Facility		$613.86	$817.85	$1,121.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,116.70 / $1,724.36 / $2,031.19	Professional		$1,116.70	$1,724.36	$2,031.19
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 $794.64 / $2,777.90 / $5,158.00	Professional		$794.64	$2,777.90	$5,158.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,555.35 / $1,555.35 / $1,555.35	Professional		$1,555.35	$1,555.35	$1,555.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,642.72 / $2,760.71 / $2,760.71	Professional		$1,642.72	$2,760.71	$2,760.71
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 $646.88 / $1,844.90 / $2,716.06	Professional		$646.88	$1,844.90	$2,716.06