Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.27 / $1,014.84 / $14,482.00	Facility		$530.27	$1,014.84	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.26 / $530.27 / $1,643.85	Professional		$498.26	$530.27	$1,643.85
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 $483.37 / $1,215.47 / $2,797.03	Professional		$483.37	$1,215.47	$2,797.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,276.89 / $1,492.14 / $2,406.77	Facility		$1,276.89	$1,492.14	$2,406.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $672.06 / $1,540.98 / $2,045.86	Professional		$672.06	$1,540.98	$2,045.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $496.14 / $676.72 / $993.21	Facility		$496.14	$676.72	$993.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $530.27 / $4,240.00 / $11,598.00	Facility		$530.27	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $564.86 / $1,178.51 / $2,599.62	Professional		$564.86	$1,178.51	$2,599.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $360.95 / $1,017.22	Professional		$58.40	$360.95	$1,017.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $530.27 / $676.72 / $993.21	Facility		$530.27	$676.72	$993.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $965.90 / $1,491.50 / $1,756.90	Professional		$965.90	$1,491.50	$1,756.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,558.29 / $9,558.29 / $9,558.29	Facility		$9,558.29	$9,558.29	$9,558.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $686.71 / $2,400.44 / $4,194.54	Professional		$686.71	$2,400.44	$4,194.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,342.33 / $1,342.33 / $1,342.33	Professional		$1,342.33	$1,342.33	$1,342.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,421.10 / $2,385.76 / $2,385.76	Professional		$1,421.10	$2,385.76	$2,385.76
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 $571.57 / $1,467.95 / $2,347.02	Professional		$571.57	$1,467.95	$2,347.02