Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.40 / $1,107.41 / $14,482.00	Facility		$581.40	$1,107.41	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.96 / $581.40 / $1,801.64	Professional		$516.96	$581.40	$1,801.64
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 $520.51 / $1,342.63 / $3,012.39	Professional		$520.51	$1,342.63	$3,012.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,392.23 / $1,626.93 / $2,624.18	Facility		$1,392.23	$1,626.93	$2,624.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.35 / $1,678.97 / $2,231.98	Professional		$733.35	$1,678.97	$2,231.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $581.40 / $818.73 / $2,001.37	Facility		$581.40	$818.73	$2,001.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $581.40 / $2,001.37 / $11,598.00	Facility		$581.40	$2,001.37	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $614.76 / $1,325.10 / $2,788.86	Professional		$614.76	$1,325.10	$2,788.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $455.69 / $1,177.15	Professional		$63.30	$455.69	$1,177.15
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $581.40 / $818.73 / $2,001.37	Facility		$581.40	$818.73	$2,001.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,099.80 / $1,649.51 / $2,000.45	Professional		$1,099.80	$1,649.51	$2,000.45
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 $748.21 / $2,600.30 / $4,045.76	Professional		$748.21	$2,600.30	$4,045.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,478.59 / $1,478.59 / $1,478.59	Professional		$1,478.59	$1,478.59	$1,478.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,549.38 / $2,599.42 / $2,599.42	Professional		$1,549.38	$2,599.42	$2,599.42
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $612.46 / $1,341.00 / $2,446.09	Professional		$612.46	$1,341.00	$2,446.09