Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.01 / $1,629.70 / $14,482.00	Facility		$661.01	$1,629.70	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.97 / $661.01 / $2,132.40	Professional		$423.97	$661.01	$2,132.40
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 $418.36 / $853.45 / $2,221.92	Professional		$418.36	$853.45	$2,221.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,169.65 / $1,366.83 / $2,204.65	Facility		$1,169.65	$1,366.83	$2,204.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.16 / $1,074.98 / $2,147.66	Professional		$517.16	$1,074.98	$2,147.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $423.97 / $608.97 / $905.90	Facility		$423.97	$608.97	$905.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.22 / $4,103.00 / $8,384.00	Facility		$457.22	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $430.81 / $887.42 / $4,005.00	Professional		$430.81	$887.42	$4,005.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.10 / $287.92 / $769.14	Professional		$57.10	$287.92	$769.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $423.97 / $608.97 / $1,153.47	Facility		$423.97	$608.97	$1,153.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $790.80 / $1,043.85 / $1,558.27	Professional		$790.80	$1,043.85	$1,558.27
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 $729.65 / $2,132.40 / $4,005.00	Professional		$729.65	$2,132.40	$4,005.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,060.71 / $2,060.71 / $2,060.71	Professional		$2,060.71	$2,060.71	$2,060.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,683.96 / $2,660.86 / $4,286.78	Professional		$1,683.96	$2,660.86	$4,286.78
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 $436.15 / $857.26 / $1,869.05	Professional		$436.15	$857.26	$1,869.05