Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.62 / $2,372.98 / $16,949.52	Facility		$463.62	$2,372.98	$16,949.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.62 / $609.04 / $2,157.00	Professional		$463.62	$609.04	$2,157.00
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 $480.59 / $983.99 / $2,850.52	Professional		$480.59	$983.99	$2,850.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,347.17 / $1,574.28 / $2,414.98	Facility		$1,347.17	$1,574.28	$2,414.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $760.64 / $1,989.15 / $2,260.40	Professional		$760.64	$1,989.15	$2,260.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $463.62 / $690.79 / $1,067.59	Facility		$463.62	$690.79	$1,067.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $470.34 / $1,000.25 / $7,891.00	Facility		$470.34	$1,000.25	$7,891.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $523.66 / $959.04 / $5,389.20	Professional		$523.66	$959.04	$5,389.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $402.90 / $1,050.87	Professional		$62.75	$402.90	$1,050.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $463.62 / $690.79 / $1,067.59	Facility		$463.62	$690.79	$1,067.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,008.15 / $1,228.39 / $1,833.75	Professional		$1,008.15	$1,228.39	$1,833.75
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 Facility Modifier AS Low / Median / High Price $497.27 / $497.27 / $497.27	Facility	AS	$497.27	$497.27	$497.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $999.35 / $2,408.65 / $5,389.20	Professional		$999.35	$2,408.65	$5,389.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,421.10 / $2,718.60 / $2,978.58	Professional		$1,421.10	$2,718.60	$2,978.58
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 $534.54 / $984.70 / $2,182.23	Professional		$534.54	$984.70	$2,182.23