Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.71 / $1,205.68 / $14,482.00	Facility		$535.71	$1,205.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.71 / $570.78 / $2,277.41	Professional		$535.71	$570.78	$2,277.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $566.19 / $1,311.95 / $3,303.86	Professional		$566.19	$1,311.95	$3,303.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,527.40 / $1,784.89 / $2,738.06	Facility		$1,527.40	$1,784.89	$2,738.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $858.99 / $2,273.00 / $2,582.94	Professional		$858.99	$2,273.00	$2,582.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $535.71 / $759.65 / $1,205.69	Facility		$535.71	$759.65	$1,205.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $535.86 / $878.96 / $7,891.00	Facility		$535.86	$878.96	$7,891.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $590.05 / $1,138.90 / $6,579.65	Professional		$590.05	$1,138.90	$6,579.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $455.00 / $1,190.23	Professional		$62.75	$455.00	$1,190.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $535.71 / $749.99 / $1,205.69	Facility		$535.71	$749.99	$1,205.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,139.45 / $1,388.38 / $2,072.57	Professional		$1,139.45	$1,388.38	$2,072.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,900.50 / $1,900.50 / $5,246.20	Facility		$1,900.50	$1,900.50	$5,246.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,141.95 / $2,833.35 / $6,579.65	Professional		$1,141.95	$2,833.35	$6,579.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,016.18 / $2,016.18 / $2,016.18	Professional		$2,016.18	$2,016.18	$2,016.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $923.72 / $3,299.32 / $3,403.61	Professional		$923.72	$3,299.32	$3,403.61
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 $602.34 / $1,178.67 / $2,483.42	Professional		$602.34	$1,178.67	$2,483.42