Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.10 / $2,113.63 / $14,482.00	Facility		$862.10	$2,113.63	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.89 / $862.10 / $2,733.85	Professional		$537.89	$862.10	$2,733.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $545.34 / $1,113.08 / $2,655.55	Professional		$545.34	$1,113.08	$2,655.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,528.30 / $1,785.94 / $2,880.66	Facility		$1,528.30	$1,785.94	$2,880.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.41 / $1,396.73 / $2,078.42	Professional		$658.41	$1,396.73	$2,078.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $527.41 / $763.48 / $1,177.58	Facility		$527.41	$763.48	$1,177.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $550.78 / $4,103.00 / $8,384.00	Facility		$550.78	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $538.48 / $1,137.72 / $4,279.20	Professional		$538.48	$1,137.72	$4,279.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $319.34 / $975.83	Professional		$58.42	$319.34	$975.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $527.41 / $763.48 / $1,309.04	Facility		$527.41	$763.48	$1,309.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,024.20 / $1,351.94 / $1,919.01	Professional		$1,024.20	$1,351.94	$1,919.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,819.45 / $5,819.45 / $5,819.45	Facility		$5,819.45	$5,819.45	$5,819.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $950.91 / $2,986.50 / $4,279.20	Professional		$950.91	$2,986.50	$4,279.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,694.23 / $2,694.23 / $2,694.23	Professional		$2,694.23	$2,694.23	$2,694.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,113.13 / $3,478.88 / $5,586.70	Professional		$2,113.13	$3,478.88	$5,586.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $552.15 / $1,054.17 / $2,396.21	Professional		$552.15	$1,054.17	$2,396.21