Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.94 / $1,894.00 / $14,482.00	Facility		$838.94	$1,894.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.39 / $838.94 / $2,637.95	Professional		$520.39	$838.94	$2,637.95
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 $524.38 / $1,083.18 / $2,691.32	Professional		$524.38	$1,083.18	$2,691.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,491.35 / $1,742.76 / $2,811.02	Facility		$1,491.35	$1,742.76	$2,811.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $639.74 / $1,357.13 / $2,723.44	Professional		$639.74	$1,357.13	$2,723.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $510.58 / $734.13 / $1,143.69	Facility		$510.58	$734.13	$1,143.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $533.29 / $4,103.00 / $8,384.00	Facility		$533.29	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $510.58 / $1,097.81 / $4,155.35	Professional		$510.58	$1,097.81	$4,155.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $294.16 / $892.05	Professional		$58.42	$294.16	$892.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $510.58 / $734.13 / $1,264.08	Facility		$510.58	$734.13	$1,264.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $992.40 / $1,309.97 / $1,955.52	Professional		$992.40	$1,309.97	$1,955.52
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 $925.26 / $2,637.95 / $4,155.35	Professional		$925.26	$2,637.95	$4,155.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,620.67 / $2,620.67 / $2,620.67	Professional		$2,620.67	$2,620.67	$2,620.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,038.90 / $3,383.91 / $5,435.98	Professional		$2,038.90	$3,383.91	$5,435.98
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $530.86 / $1,037.96 / $2,312.16	Professional		$530.86	$1,037.96	$2,312.16