Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.86 / $1,435.48 / $14,482.00	Facility		$638.86	$1,435.48	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.86 / $698.32 / $2,711.46	Professional		$638.86	$698.32	$2,711.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $662.82 / $1,564.54 / $3,730.60	Professional		$662.82	$1,564.54	$3,730.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,815.76 / $2,121.86 / $3,254.98	Facility		$1,815.76	$2,121.86	$3,254.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,034.24 / $2,691.00 / $3,057.95	Professional		$1,034.24	$2,691.00	$3,057.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $637.99 / $877.72 / $1,415.80	Facility		$637.99	$877.72	$1,415.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $637.99 / $988.06 / $11,100.00	Facility		$637.99	$988.06	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $739.96 / $1,335.65 / $5,185.35	Professional		$739.96	$1,335.65	$5,185.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $553.18 / $1,461.90	Professional		$62.75	$553.18	$1,461.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $637.99 / $816.63 / $1,415.80	Facility		$637.99	$816.63	$1,415.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,393.60 / $1,698.05 / $2,534.85	Professional		$1,393.60	$1,698.05	$2,534.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,351.94 / $3,310.00 / $5,185.35	Professional		$1,351.94	$3,310.00	$5,185.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,382.90 / $2,382.90 / $2,382.90	Professional		$2,382.90	$2,382.90	$2,382.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,210.96 / $3,777.59 / $4,029.50	Professional		$2,210.96	$3,777.59	$4,029.50
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 $735.63 / $1,288.65 / $2,979.00	Professional		$735.63	$1,288.65	$2,979.00