Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $527.01 / $1,169.06 / $14,482.00	Facility		$527.01	$1,169.06	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.01 / $574.17 / $2,208.21	Professional		$527.01	$574.17	$2,208.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,159.00 / $8,456.00 / $10,914.00	Facility		$6,159.00	$8,456.00	$10,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $570.10 / $1,281.45 / $3,269.49	Professional		$570.10	$1,281.45	$3,269.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,462.52 / $1,709.07 / $2,621.75	Facility		$1,462.52	$1,709.07	$2,621.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $896.29 / $2,197.03 / $2,496.63	Professional		$896.29	$2,197.03	$2,496.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $519.58 / $697.13 / $1,169.06	Facility		$519.58	$697.13	$1,169.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $527.01 / $806.33 / $1,778.00	Facility		$527.01	$806.33	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $668.01 / $1,153.52 / $4,282.72	Professional		$668.01	$1,153.52	$4,282.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $317.90 / $600.48 / $1,321.18	Professional		$317.90	$600.48	$1,321.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $519.58 / $665.06 / $1,169.06	Facility		$519.58	$665.06	$1,169.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,149.79 / $1,401.84 / $2,092.67	Professional		$1,149.79	$1,401.84	$2,092.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,679.44 / $2,679.44 / $2,679.44	Facility		$2,679.44	$2,679.44	$2,679.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,103.78 / $2,833.55 / $4,282.72	Professional		$1,103.78	$2,833.55	$4,282.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.16 / $1,995.16 / $1,995.16	Professional		$1,995.16	$1,995.16	$1,995.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,794.83 / $3,289.85 / $3,289.85	Professional		$1,794.83	$3,289.85	$3,289.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $625.07 / $1,085.76 / $2,512.83	Professional		$625.07	$1,085.76	$2,512.83