Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.79 / $936.65 / $14,482.00	Facility		$488.79	$936.65	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.80 / $497.14 / $1,905.06	Professional		$441.80	$497.14	$1,905.06
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 $445.40 / $1,119.00 / $2,567.83	Professional		$445.40	$1,119.00	$2,567.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,179.57 / $1,378.42 / $2,223.34	Facility		$1,179.57	$1,378.42	$2,223.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $620.27 / $1,421.78 / $1,888.37	Professional		$620.27	$1,421.78	$1,888.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $488.79 / $651.90 / $1,833.68	Facility		$488.79	$651.90	$1,833.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $488.79 / $1,833.68 / $8,783.00	Facility		$488.79	$1,833.68	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $522.11 / $1,084.91 / $3,594.63	Professional		$522.11	$1,084.91	$3,594.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $391.52 / $1,008.86	Professional		$63.30	$391.52	$1,008.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $488.79 / $651.90 / $1,833.68	Facility		$488.79	$651.90	$1,833.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $890.50 / $1,375.07 / $1,619.75	Professional		$890.50	$1,375.07	$1,619.75
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 $633.59 / $2,210.05 / $3,830.56	Professional		$633.59	$2,210.05	$3,830.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,236.85 / $1,236.85 / $1,236.85	Professional		$1,236.85	$1,236.85	$1,236.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,407.66 / $2,201.21 / $2,201.21	Professional		$1,407.66	$2,201.21	$2,201.21
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 $522.11 / $1,238.29 / $2,103.19	Professional		$522.11	$1,238.29	$2,103.19