Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,858.03 / $14,482.00	Facility		$755.00	$1,858.03	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.07 / $755.00 / $2,460.00	Professional		$486.07	$755.00	$2,460.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.10 / $974.80 / $2,575.57	Professional		$479.10	$974.80	$2,575.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,332.76 / $1,557.43 / $2,512.08	Facility		$1,332.76	$1,557.43	$2,512.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.35 / $1,222.65 / $2,451.21	Professional		$576.35	$1,222.65	$2,451.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $556.02 / $755.00 / $1,030.69	Facility		$556.02	$755.00	$1,030.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $556.02 / $2,184.00 / $11,598.00	Facility		$556.02	$2,184.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $498.95 / $1,077.48 / $6,848.00	Professional		$498.95	$1,077.48	$6,848.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $269.03 / $837.54	Professional		$58.42	$269.03	$837.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $499.81 / $755.00 / $1,203.78	Facility		$499.81	$755.00	$1,203.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $900.60 / $1,188.79 / $1,774.63	Professional		$900.60	$1,188.79	$1,774.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,001.70 / $9,001.70 / $9,001.70	Facility		$9,001.70	$9,001.70	$9,001.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $832.78 / $2,460.00 / $6,848.00	Professional		$832.78	$2,460.00	$6,848.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,355.86 / $2,355.86 / $2,355.86	Professional		$2,355.86	$2,355.86	$2,355.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,295.89 / $3,041.96 / $4,892.58	Professional		$2,295.89	$3,041.96	$4,892.58
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $488.51 / $997.30 / $2,156.19	Professional		$488.51	$997.30	$2,156.19