Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.76 / $1,875.28 / $14,482.00	Facility		$549.76	$1,875.28	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.33 / $549.76 / $1,479.71	Professional		$443.33	$549.76	$1,479.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,835.00 / $7,344.00	Facility		$2,740.00	$4,835.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.05 / $1,392.55 / $2,696.80	Professional		$478.05	$1,392.55	$2,696.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,323.75 / $1,546.90 / $2,372.98	Facility		$1,323.75	$1,546.90	$2,372.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.02 / $1,500.54 / $2,030.99	Professional		$698.02	$1,500.54	$2,030.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $472.82 / $598.59 / $935.30	Facility		$472.82	$598.59	$935.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $514.41 / $917.88 / $8,783.00	Facility		$514.41	$917.88	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $555.32 / $1,388.24 / $3,755.44	Professional		$555.32	$1,388.24	$3,755.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $441.17 / $1,114.21	Professional		$65.50	$441.17	$1,114.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $472.82 / $612.90 / $965.57	Facility		$472.82	$612.90	$965.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $985.40 / $1,432.31 / $1,792.37	Professional		$985.40	$1,432.31	$1,792.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,623.50 / $12,623.50 / $12,623.50	Facility		$12,623.50	$12,623.50	$12,623.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $782.51 / $2,345.94 / $3,755.44	Professional		$782.51	$2,345.94	$3,755.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,242.02 / $1,242.02 / $1,242.02	Professional		$1,242.02	$1,242.02	$1,242.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,203.18 / $2,741.21 / $2,741.21	Professional		$1,203.18	$2,741.21	$2,741.21
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $7,280.00 / $8,384.00	Facility		$4,614.00	$7,280.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $503.02 / $1,404.74 / $2,056.23	Professional		$503.02	$1,404.74	$2,056.23