Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.67 / $2,085.12 / $14,482.00	Facility		$848.67	$2,085.12	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.79 / $848.67 / $2,756.10	Professional		$543.79	$848.67	$2,756.10
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 $537.14 / $1,095.76 / $2,641.99	Professional		$537.14	$1,095.76	$2,641.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,504.87 / $1,758.56 / $2,836.50	Facility		$1,504.87	$1,758.56	$2,836.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.67 / $1,374.45 / $2,050.05	Professional		$658.67	$1,374.45	$2,050.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $543.79 / $780.56 / $1,159.24	Facility		$543.79	$780.56	$1,159.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $581.17 / $2,781.00 / $6,150.00	Facility		$581.17	$2,781.00	$6,150.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.85 / $1,146.98 / $4,226.96	Professional		$549.85	$1,146.98	$4,226.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $295.34 / $908.73	Professional		$58.42	$295.34	$908.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $543.79 / $780.56 / $1,365.00	Facility		$543.79	$780.56	$1,365.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,011.00 / $1,334.52 / $1,894.28	Professional		$1,011.00	$1,334.52	$1,894.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,887.55 / $6,887.55 / $6,887.55	Facility		$6,887.55	$6,887.55	$6,887.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $937.92 / $2,756.10 / $4,226.96	Professional		$937.92	$2,756.10	$4,226.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,645.87 / $2,645.87 / $2,645.87	Professional		$2,645.87	$2,645.87	$2,645.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,183.40 / $3,416.44 / $5,510.40	Professional		$2,183.40	$3,416.44	$5,510.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.62 / $1,102.44 / $2,415.71	Professional		$550.62	$1,102.44	$2,415.71