Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.73 / $1,172.00 / $14,482.00	Facility		$612.73	$1,172.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.82 / $612.73 / $1,889.04	Professional		$572.82	$612.73	$1,889.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.79 / $1,477.99 / $3,196.54	Professional		$556.79	$1,477.99	$3,196.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,476.03 / $1,724.86 / $2,782.14	Facility		$1,476.03	$1,724.86	$2,782.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.13 / $1,780.98 / $2,362.26	Professional		$776.13	$1,780.98	$2,362.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $612.73 / $816.35 / $2,480.63	Facility		$612.73	$816.35	$2,480.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $612.73 / $2,480.63 / $8,783.00	Facility		$612.73	$2,480.63	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $652.19 / $1,357.38 / $2,992.22	Professional		$652.19	$1,357.38	$2,992.22
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 $612.73 / $816.35 / $2,480.63	Facility		$612.73	$816.35	$2,480.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,114.75 / $1,721.35 / $2,027.64	Professional		$1,114.75	$1,721.35	$2,027.64
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 $793.67 / $2,767.55 / $5,128.33	Professional		$793.67	$2,767.55	$5,128.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,552.46 / $1,552.46 / $1,552.46	Professional		$1,552.46	$1,552.46	$1,552.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,639.76 / $2,757.34 / $2,757.34	Professional		$1,639.76	$2,757.34	$2,757.34
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,754.00 / $8,384.00	Facility		$4,918.00	$6,754.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $624.75 / $1,690.92 / $2,705.94	Professional		$624.75	$1,690.92	$2,705.94