Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $678.56 / $1,213.04 / $14,482.00	Facility		$678.56	$1,213.04	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.70 / $636.15 / $1,435.29	Professional		$422.70	$636.15	$1,435.29
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 $510.50 / $876.11 / $2,303.10	Professional		$510.50	$876.11	$2,303.10
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $850.84 / $1,339.93 / $3,454.66	Professional	50	$850.84	$1,339.93	$3,454.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,580.56 / $1,847.01 / $2,979.17	Facility		$1,580.56	$1,847.01	$2,979.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.53 / $1,183.53 / $2,534.10	Professional		$536.53	$1,183.53	$2,534.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $500.60 / $690.09 / $1,115.29	Facility		$500.60	$690.09	$1,115.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $500.60 / $901.65 / $8,384.00	Facility		$500.60	$901.65	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $572.41 / $1,152.44 / $4,405.00	Professional		$572.41	$1,152.44	$4,405.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $320.47 / $978.94	Professional		$58.42	$320.47	$978.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $500.60 / $690.09 / $1,210.64	Facility		$500.60	$690.09	$1,210.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $880.10 / $1,378.82 / $1,985.03	Professional		$880.10	$1,378.82	$1,985.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,182.70 / $3,182.70 / $3,182.70	Facility		$3,182.70	$3,182.70	$3,182.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $711.15 / $2,202.94 / $4,405.00	Professional		$711.15	$2,202.94	$4,405.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,147.44 / $4,405.00 / $5,747.87	Professional		$2,147.44	$4,405.00	$5,747.87
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 $595.12 / $1,116.76 / $2,475.76	Professional		$595.12	$1,116.76	$2,475.76