Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.04 / $1,209.33 / $14,482.00	Facility		$633.04	$1,209.33	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.50 / $633.04 / $2,017.99	Professional		$595.50	$633.04	$2,017.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.30 / $1,464.37 / $3,344.07	Professional		$579.30	$1,464.37	$3,344.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,521.09 / $1,777.51 / $2,867.07	Facility		$1,521.09	$1,777.51	$2,867.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.84 / $1,836.58 / $2,435.27	Professional		$800.84	$1,836.58	$2,435.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $591.23 / $811.03 / $1,155.58	Facility		$591.23	$811.03	$1,155.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $633.04 / $4,103.00 / $8,783.00	Facility		$633.04	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $684.47 / $1,412.88 / $3,119.22	Professional		$684.47	$1,412.88	$3,119.22
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 $591.23 / $811.03 / $1,155.58	Facility		$591.23	$811.03	$1,155.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,151.80 / $1,778.56 / $2,095.04	Professional		$1,151.80	$1,778.56	$2,095.04
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 $818.45 / $2,874.85 / $4,388.72	Professional		$818.45	$2,874.85	$4,388.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,604.27 / $1,604.27 / $1,604.27	Professional		$1,604.27	$1,604.27	$1,604.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,691.99 / $2,843.43 / $2,843.43	Professional		$1,691.99	$2,843.43	$2,843.43
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $684.47 / $1,661.09 / $2,735.85	Professional		$684.47	$1,661.09	$2,735.85