Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.52 / $1,204.29 / $14,482.00	Facility		$535.52	$1,204.29	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.52 / $618.97 / $2,274.77	Professional		$535.52	$618.97	$2,274.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.01 / $1,311.47 / $3,290.35	Professional		$549.01	$1,311.47	$3,290.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,521.99 / $1,778.57 / $2,728.37	Facility		$1,521.99	$1,778.57	$2,728.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.18 / $2,262.03 / $2,570.48	Professional		$899.18	$2,262.03	$2,570.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $535.52 / $749.73 / $1,231.32	Facility		$535.52	$749.73	$1,231.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $535.52 / $894.90 / $7,891.00	Facility		$535.52	$894.90	$7,891.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $610.74 / $1,105.40 / $4,416.88	Professional		$610.74	$1,105.40	$4,416.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $493.73 / $1,271.46	Professional		$62.75	$493.73	$1,271.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $535.52 / $690.45 / $1,231.32	Facility		$535.52	$690.45	$1,231.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.45 / $1,499.26 / $2,238.09	Professional		$1,230.45	$1,499.26	$2,238.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,900.50 / $1,900.50 / $6,451.29	Facility		$1,900.50	$1,900.50	$6,451.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,136.43 / $2,739.40 / $4,416.88	Professional		$1,136.43	$2,739.40	$4,416.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,007.91 / $2,007.91 / $2,007.91	Professional		$2,007.91	$2,007.91	$2,007.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,855.26 / $3,193.75 / $3,387.16	Professional		$1,855.26	$3,193.75	$3,387.16
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $624.62 / $1,095.76 / $2,481.90	Professional		$624.62	$1,095.76	$2,481.90