Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.69 / $1,248.89 / $14,482.00	Facility		$525.69	$1,248.89	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.69 / $591.87 / $2,359.00	Professional		$525.69	$591.87	$2,359.00
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 $565.05 / $1,287.41 / $3,309.41	Professional		$565.05	$1,287.41	$3,309.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,587.77 / $1,855.44 / $2,846.29	Facility		$1,587.77	$1,855.44	$2,846.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $883.67 / $2,356.59 / $2,677.94	Professional		$883.67	$2,356.59	$2,677.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $525.69 / $783.28 / $1,248.89	Facility		$525.69	$783.28	$1,248.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $555.05 / $946.24 / $11,100.00	Facility		$555.05	$946.24	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $606.25 / $1,119.90 / $8,224.15	Professional		$606.25	$1,119.90	$8,224.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $476.78 / $1,256.28	Professional		$62.75	$476.78	$1,256.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $525.69 / $783.28 / $1,248.89	Facility		$525.69	$783.28	$1,248.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,179.09 / $1,436.69 / $2,144.69	Professional		$1,179.09	$1,436.69	$2,144.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,900.50 / $1,900.50 / $6,524.00	Facility		$1,900.50	$1,900.50	$6,524.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,183.93 / $2,823.05 / $8,224.15	Professional		$1,183.93	$2,823.05	$8,224.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,019.56 / $2,019.56 / $2,019.56	Professional		$2,019.56	$2,019.56	$2,019.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,056.96 / $3,119.35 / $3,528.78	Professional		$2,056.96	$3,119.35	$3,528.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $606.25 / $1,119.90 / $2,557.67	Professional		$606.25	$1,119.90	$2,557.67