Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.81 / $1,572.73 / $14,482.00	Facility		$702.81	$1,572.73	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.81 / $758.72 / $2,970.71	Professional		$702.81	$758.72	$2,970.71
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 $689.72 / $1,634.33 / $4,123.00	Professional		$689.72	$1,634.33	$4,123.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,990.57 / $2,326.14 / $3,568.36	Facility		$1,990.57	$2,326.14	$3,568.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,123.09 / $2,954.89 / $3,357.83	Professional		$1,123.09	$2,954.89	$3,357.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $698.99 / $890.78 / $1,549.12	Facility		$698.99	$890.78	$1,549.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $698.99 / $1,088.15 / $7,891.00	Facility		$698.99	$1,088.15	$7,891.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $797.30 / $1,401.98 / $5,694.00	Professional		$797.30	$1,401.98	$5,694.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $594.07 / $1,628.93	Professional		$62.75	$594.07	$1,628.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $698.99 / $890.78 / $1,549.12	Facility		$698.99	$890.78	$1,549.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,519.70 / $1,851.70 / $2,764.22	Professional		$1,519.70	$1,851.70	$2,764.22
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 $1,484.53 / $3,504.95 / $5,694.00	Professional		$1,484.53	$3,504.95	$5,694.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,516.06 / $2,516.06 / $2,516.06	Professional		$2,516.06	$2,516.06	$2,516.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,131.65 / $4,055.95 / $4,424.72	Professional		$2,131.65	$4,055.95	$4,424.72
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $7,495.00 / $9,134.00	Facility		$4,103.00	$7,495.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $771.09 / $1,344.74 / $3,154.46	Professional		$771.09	$1,344.74	$3,154.46