Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.33 / $1,023.01 / $14,482.00	Facility		$453.33	$1,023.01	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.33 / $518.74 / $1,932.35	Professional		$453.33	$518.74	$1,932.35
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 $460.55 / $959.41 / $2,643.41	Professional		$460.55	$959.41	$2,643.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,296.71 / $1,515.31 / $2,324.52	Facility		$1,296.71	$1,515.31	$2,324.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $746.13 / $1,918.31 / $2,179.90	Professional		$746.13	$1,918.31	$2,179.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $453.33 / $628.00 / $1,023.01	Facility		$453.33	$628.00	$1,023.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $454.67 / $706.50 / $5,261.00	Facility		$454.67	$706.50	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $471.88 / $923.68 / $3,726.96	Professional		$471.88	$923.68	$3,726.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $419.73 / $1,088.37	Professional		$62.75	$419.73	$1,088.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $453.33 / $599.89 / $1,023.01	Facility		$453.33	$599.89	$1,023.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,035.45 / $1,261.66 / $1,883.40	Professional		$1,035.45	$1,261.66	$1,883.40
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 $963.75 / $2,289.05 / $3,726.96	Professional		$963.75	$2,289.05	$3,726.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,693.79 / $1,693.79 / $1,693.79	Professional		$1,693.79	$1,693.79	$1,693.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,544.95 / $2,296.30 / $2,872.51	Professional		$1,544.95	$2,296.30	$2,872.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $3,827.00 / $6,564.00	Facility		$2,883.00	$3,827.00	$6,564.00
United Facility/Professional Professional Modifier Low / Median / High Price $474.46 / $932.59 / $2,006.35	Professional		$474.46	$932.59	$2,006.35