Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.60 / $1,152.54 / $14,482.00	Facility		$673.60	$1,152.54	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.21 / $673.60 / $1,727.05	Professional		$420.21	$673.60	$1,727.05
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 $528.52 / $1,356.68 / $2,417.69	Professional		$528.52	$1,356.68	$2,417.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,470.63 / $1,718.55 / $2,771.95	Facility		$1,470.63	$1,718.55	$2,771.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.97 / $1,675.99 / $1,940.58	Professional		$793.97	$1,675.99	$1,940.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $563.46 / $742.24 / $1,394.16	Facility		$563.46	$742.24	$1,394.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $614.69 / $1,716.00 / $7,700.00	Facility		$614.69	$1,716.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $598.37 / $1,244.76 / $2,545.33	Professional		$598.37	$1,244.76	$2,545.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $357.10 / $1,094.14	Professional		$70.00	$357.10	$1,094.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $614.69 / $742.24 / $1,394.16	Facility		$614.69	$742.24	$1,394.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,157.00 / $1,591.75 / $2,021.37	Professional		$1,157.00	$1,591.75	$2,021.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,432.65 / $3,432.65 / $3,432.65	Facility		$3,432.65	$3,432.65	$3,432.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $821.04 / $2,657.00 / $4,273.84	Professional		$821.04	$2,657.00	$4,273.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,050.28 / $1,050.28 / $1,050.28	Professional		$1,050.28	$1,050.28	$1,050.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $987.29 / $1,766.60 / $1,766.60	Professional		$987.29	$1,766.60	$1,766.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $587.10 / $1,505.92 / $2,328.86	Professional		$587.10	$1,505.92	$2,328.86