Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.56 / $1,090.96 / $14,482.00	Facility		$488.56	$1,090.96	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.56 / $555.60 / $2,060.69	Professional		$488.56	$555.60	$2,060.69
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 $525.65 / $1,016.99 / $2,968.64	Professional		$525.65	$1,016.99	$2,968.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,362.49 / $1,592.18 / $2,442.44	Facility		$1,362.49	$1,592.18	$2,442.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $804.67 / $2,050.09 / $2,329.65	Professional		$804.67	$2,050.09	$2,329.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $488.56 / $732.84 / $1,994.33	Facility		$488.56	$732.84	$1,994.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $517.10 / $1,045.56 / $5,261.00	Facility		$517.10	$1,045.56	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $620.77 / $1,779.41 / $14,265.96	Professional		$620.77	$1,779.41	$14,265.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $309.81 / $663.97 / $1,487.44	Professional		$309.81	$663.97	$1,487.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $488.56 / $732.84 / $1,994.33	Facility		$488.56	$732.84	$1,994.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,145.30 / $1,395.50 / $2,083.21	Professional		$1,145.30	$1,395.50	$2,083.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,686.27 / $2,686.27 / $7,415.30	Facility		$2,686.27	$2,686.27	$7,415.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,029.95 / $7,877.97 / $14,265.96	Professional		$1,029.95	$7,877.97	$14,265.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,839.34 / $1,839.34 / $1,839.34	Professional		$1,839.34	$1,839.34	$1,839.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,478.74 / $2,520.75 / $3,069.84	Professional		$1,478.74	$2,520.75	$3,069.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $604.50 / $1,319.04 / $3,104.98	Professional		$604.50	$1,319.04	$3,104.98