Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $730.99 / $1,401.19 / $14,482.00	Facility		$730.99	$1,401.19	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.16 / $730.99 / $2,183.19	Professional		$686.16	$730.99	$2,183.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $662.20 / $1,753.53 / $3,824.45	Professional		$662.20	$1,753.53	$3,824.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,763.49 / $2,060.78 / $3,323.96	Facility		$1,763.49	$2,060.78	$3,323.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $927.90 / $2,126.10 / $2,824.69	Professional		$927.90	$2,126.10	$2,824.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $685.03 / $855.26 / $1,338.91	Facility		$685.03	$855.26	$1,338.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $696.25 / $5,496.00 / $8,783.00	Facility		$696.25	$5,496.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $762.10 / $1,518.16 / $3,352.62	Professional		$762.10	$1,518.16	$3,352.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $549.53 / $1,441.38	Professional		$62.75	$549.53	$1,441.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $685.03 / $855.26 / $1,338.91	Facility		$685.03	$855.26	$1,338.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,333.15 / $2,058.59 / $2,424.90	Professional		$1,333.15	$2,058.59	$2,424.90
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 $947.46 / $3,291.75 / $5,074.88	Professional		$947.46	$3,291.75	$5,074.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,849.07 / $1,849.07 / $1,849.07	Professional		$1,849.07	$1,849.07	$1,849.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,291.63 / $3,291.63 / $3,291.63	Professional		$3,291.63	$3,291.63	$3,291.63
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $742.16 / $2,187.50 / $2,988.05	Professional		$742.16	$2,187.50	$2,988.05