Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.56 / $1,254.69 / $14,482.00	Facility		$668.56	$1,254.69	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.79 / $668.56 / $2,043.06	Professional		$542.79	$668.56	$2,043.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $581.36 / $1,609.34 / $3,331.76	Professional		$581.36	$1,609.34	$3,331.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,595.88 / $1,864.92 / $3,008.04	Facility		$1,595.88	$1,864.92	$3,008.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.11 / $1,820.12 / $2,529.76	Professional		$920.11	$1,820.12	$2,529.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $613.40 / $752.57 / $1,334.50	Facility		$613.40	$752.57	$1,334.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $668.56 / $4,240.00 / $12,622.22	Facility		$668.56	$4,240.00	$12,622.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $694.52 / $1,476.73 / $2,930.52	Professional		$694.52	$1,476.73	$2,930.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $488.71 / $1,289.96	Professional		$63.30	$488.71	$1,289.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $618.91 / $752.57 / $1,334.50	Facility		$618.91	$752.57	$1,334.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,212.90 / $1,846.38 / $2,206.17	Professional		$1,212.90	$1,846.38	$2,206.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,899.50 / $10,899.50 / $10,899.50	Facility		$10,899.50	$10,899.50	$10,899.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $949.16 / $2,953.45 / $4,604.80	Professional		$949.16	$2,953.45	$4,604.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,525.58 / $1,525.58 / $1,525.58	Professional		$1,525.58	$1,525.58	$1,525.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,506.19 / $3,324.99 / $3,324.99	Professional		$1,506.19	$3,324.99	$3,324.99
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 $668.31 / $1,636.30 / $2,588.69	Professional		$668.31	$1,636.30	$2,588.69