Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.60 / $1,123.08 / $14,482.00	Facility		$653.60	$1,123.08	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.73 / $653.60 / $1,762.78	Professional		$427.73	$653.60	$1,762.78
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 $519.14 / $1,375.67 / $2,345.52	Professional		$519.14	$1,375.67	$2,345.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,416.56 / $1,655.36 / $2,670.04	Facility		$1,416.56	$1,655.36	$2,670.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $773.68 / $1,625.97 / $1,878.44	Professional		$773.68	$1,625.97	$1,878.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $549.07 / $726.80 / $1,108.73	Facility		$549.07	$726.80	$1,108.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $598.98 / $1,816.50 / $7,700.00	Facility		$598.98	$1,816.50	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $614.20 / $1,247.24 / $2,611.58	Professional		$614.20	$1,247.24	$2,611.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $334.99 / $1,095.35	Professional		$85.00	$334.99	$1,095.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $549.07 / $726.80 / $1,108.73	Facility		$549.07	$726.80	$1,108.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,140.75 / $1,577.39 / $1,992.98	Professional		$1,140.75	$1,577.39	$1,992.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,356.70 / $3,356.70 / $3,356.70	Facility		$3,356.70	$3,356.70	$3,356.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $796.53 / $2,672.60 / $4,177.20	Professional		$796.53	$2,672.60	$4,177.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,018.37 / $1,018.37 / $1,018.37	Professional		$1,018.37	$1,018.37	$1,018.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,007.78 / $1,713.85 / $1,713.85	Professional		$1,007.78	$1,713.85	$1,713.85
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 $554.73 / $1,170.59 / $2,313.71	Professional		$554.73	$1,170.59	$2,313.71