Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.67 / $1,057.52 / $14,482.00	Facility		$619.67	$1,057.52	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.66 / $619.67 / $1,585.43	Professional		$416.66	$619.67	$1,585.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.97 / $1,240.50 / $2,224.67	Professional		$466.97	$1,240.50	$2,224.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,360.69 / $1,590.08 / $2,564.73	Facility		$1,360.69	$1,590.08	$2,564.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $728.52 / $1,542.19 / $1,791.21	Professional		$728.52	$1,542.19	$1,791.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $555.70 / $682.05 / $1,236.33	Facility		$555.70	$682.05	$1,236.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.75 / $1,236.33 / $8,384.00	Facility		$549.75	$1,236.33	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $566.41 / $1,163.58 / $2,233.92	Professional		$566.41	$1,163.58	$2,233.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $312.41 / $1,059.94	Professional		$70.00	$312.41	$1,059.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $517.01 / $682.05 / $1,236.33	Facility		$517.01	$682.05	$1,236.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,052.34 / $1,397.36 / $1,838.54	Professional		$1,052.34	$1,397.36	$1,838.54
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 $755.49 / $2,374.69 / $3,909.60	Professional		$755.49	$2,374.69	$3,909.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $965.28 / $965.28 / $965.28	Professional		$965.28	$965.28	$965.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $903.18 / $1,625.56 / $1,625.56	Professional		$903.18	$1,625.56	$1,625.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $530.88 / $1,244.38 / $2,055.83	Professional		$530.88	$1,244.38	$2,055.83