Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.12 / $1,243.28 / $14,482.00	Facility		$661.12	$1,243.28	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $536.58 / $661.12 / $1,894.23	Professional		$536.58	$661.12	$1,894.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $8,456.00	Facility		$2,740.00	$4,780.00	$8,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.13 / $1,574.35 / $3,282.94	Professional		$562.13	$1,574.35	$3,282.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,594.98 / $1,863.86 / $3,006.35	Facility		$1,594.98	$1,863.86	$3,006.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $911.75 / $1,808.95 / $2,519.73	Professional		$911.75	$1,808.95	$2,519.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $607.83 / $741.18 / $2,385.37	Facility		$607.83	$741.18	$2,385.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $614.97 / $2,385.37 / $8,384.00	Facility		$614.97	$2,385.37	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $643.92 / $1,416.86 / $2,897.91	Professional		$643.92	$1,416.86	$2,897.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $468.21 / $1,265.76	Professional		$63.30	$468.21	$1,265.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $607.83 / $741.18 / $2,385.37	Facility		$607.83	$741.18	$2,385.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,199.90 / $1,727.84 / $2,182.53	Professional		$1,199.90	$1,727.84	$2,182.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,496.40 / $9,496.40 / $9,496.40	Facility		$9,496.40	$9,496.40	$9,496.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $943.35 / $2,834.70 / $4,558.56	Professional		$943.35	$2,834.70	$4,558.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.67 / $1,513.67 / $1,513.67	Professional		$1,513.67	$1,513.67	$1,513.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,459.14 / $3,304.60 / $3,304.60	Professional		$1,459.14	$3,304.60	$3,304.60
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 $643.92 / $1,745.59 / $2,508.19	Professional		$643.92	$1,745.59	$2,508.19