Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.38 / $1,188.32 / $14,482.00	Facility		$862.38	$1,188.32	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.62 / $862.38 / $2,244.59	Professional		$553.62	$862.38	$2,244.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $566.00 / $1,113.44 / $2,924.28	Professional		$566.00	$1,113.44	$2,924.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,599.49 / $1,869.13 / $3,014.84	Facility		$1,599.49	$1,869.13	$3,014.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $633.01 / $1,356.27 / $2,885.12	Professional		$633.01	$1,356.27	$2,885.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $551.66 / $818.62 / $1,176.10	Facility		$551.66	$818.62	$1,176.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $563.55 / $1,003.25 / $1,789.00	Facility		$563.55	$1,003.25	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $583.05 / $1,286.19 / $4,490.08	Professional		$583.05	$1,286.19	$4,490.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $325.12 / $1,010.07	Professional		$62.75	$325.12	$1,010.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $551.66 / $818.62 / $1,368.26	Facility		$551.66	$818.62	$1,368.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,107.94 / $1,415.30 / $2,029.32	Professional		$1,107.94	$1,415.30	$2,029.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,713.93 / $4,713.93 / $4,713.93	Facility		$4,713.93	$4,713.93	$4,713.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $952.61 / $2,800.05 / $4,490.08	Professional		$952.61	$2,800.05	$4,490.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,693.35 / $2,693.35 / $2,821.87	Professional		$2,693.35	$2,693.35	$2,821.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,989.54 / $5,596.73 / $5,855.42	Professional		$1,989.54	$5,596.73	$5,855.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $588.20 / $1,169.26 / $2,603.03	Professional		$588.20	$1,169.26	$2,603.03