Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.11 / $1,041.85 / $14,482.00	Facility		$466.11	$1,041.85	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.11 / $525.27 / $1,967.96	Professional		$466.11	$525.27	$1,967.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,370.00 / $6,491.46	Facility		$2,740.00	$4,370.00	$6,491.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.92 / $989.28 / $2,895.20	Professional		$483.92	$989.28	$2,895.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,312.93 / $1,534.26 / $2,353.60	Facility		$1,312.93	$1,534.26	$2,353.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $775.63 / $1,956.65 / $2,223.46	Professional		$775.63	$1,956.65	$2,223.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $466.11 / $658.43 / $1,074.49	Facility		$466.11	$658.43	$1,074.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $466.11 / $838.00 / $5,887.00	Facility		$466.11	$838.00	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $535.17 / $953.74 / $6,287.40	Professional		$535.17	$953.74	$6,287.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $427.20 / $1,132.62	Professional		$62.75	$427.20	$1,132.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $466.11 / $652.54 / $1,074.49	Facility		$466.11	$652.54	$1,074.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,032.20 / $1,257.70 / $1,877.49	Professional		$1,032.20	$1,257.70	$1,877.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,859.84 / $4,859.84 / $4,859.84	Facility		$4,859.84	$4,859.84	$4,859.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $983.01 / $2,432.65 / $6,287.40	Professional		$983.01	$2,432.65	$6,287.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,766.79 / $1,766.79 / $1,766.79	Professional		$1,766.79	$1,766.79	$1,766.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,740.47 / $2,770.18 / $2,929.92	Professional		$1,740.47	$2,770.18	$2,929.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $542.07 / $953.74 / $2,203.98	Professional		$542.07	$953.74	$2,203.98