Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.22 / $1,031.08 / $14,482.00	Facility		$461.22	$1,031.08	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.22 / $519.78 / $1,947.60	Professional		$461.22	$519.78	$1,947.60
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 $480.55 / $978.92 / $2,727.78	Professional		$480.55	$978.92	$2,727.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,297.60 / $1,516.36 / $2,326.14	Facility		$1,297.60	$1,516.36	$2,326.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.17 / $1,935.78 / $2,199.75	Professional		$776.17	$1,935.78	$2,199.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $461.22 / $645.71 / $1,031.08	Facility		$461.22	$645.71	$1,031.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $461.22 / $757.35 / $5,261.00	Facility		$461.22	$757.35	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $548.49 / $967.94 / $3,762.64	Professional		$548.49	$967.94	$3,762.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $411.60 / $1,094.90	Professional		$62.75	$411.60	$1,094.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $461.22 / $598.40 / $1,031.08	Facility		$461.22	$598.40	$1,031.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,021.80 / $1,245.02 / $1,858.58	Professional		$1,021.80	$1,245.02	$1,858.58
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 $972.52 / $2,407.80 / $3,762.64	Professional		$972.52	$2,407.80	$3,762.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,747.83 / $1,747.83 / $1,747.83	Professional		$1,747.83	$1,747.83	$1,747.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,526.67 / $2,898.66 / $2,898.66	Professional		$1,526.67	$2,898.66	$2,898.66
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 $536.65 / $940.34 / $2,181.46	Professional		$536.65	$940.34	$2,181.46