Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.36 / $1,268.71 / $14,482.00	Facility		$568.36	$1,268.71	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.36 / $621.80 / $2,396.44	Professional		$568.36	$621.80	$2,396.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.82 / $1,206.30 / $3,364.20	Professional		$587.82	$1,206.30	$3,364.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,596.78 / $1,865.97 / $2,862.44	Facility		$1,596.78	$1,865.97	$2,862.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $943.54 / $2,384.04 / $2,709.14	Professional		$943.54	$2,384.04	$2,709.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $568.36 / $822.95 / $1,259.16	Facility		$568.36	$822.95	$1,259.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $568.36 / $894.90 / $11,100.00	Facility		$568.36	$894.90	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $657.44 / $1,172.95 / $4,637.92	Professional		$657.44	$1,172.95	$4,637.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $492.76 / $1,294.14	Professional		$62.75	$492.76	$1,294.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $568.36 / $802.48 / $1,259.16	Facility		$568.36	$802.48	$1,259.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.40 / $1,533.31 / $2,288.92	Professional		$1,258.40	$1,533.31	$2,288.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,408.82 / $2,408.82 / $6,649.40	Facility		$2,408.82	$2,408.82	$6,649.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,197.73 / $2,969.30 / $4,637.92	Professional		$1,197.73	$2,969.30	$4,637.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,155.62 / $2,155.62 / $2,155.62	Professional		$2,155.62	$2,155.62	$2,155.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,829.55 / $3,251.15 / $3,569.87	Professional		$1,829.55	$3,251.15	$3,569.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $657.44 / $1,187.72 / $2,602.59	Professional		$657.44	$1,187.72	$2,602.59