Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.95 / $1,124.84 / $14,482.00	Facility		$806.95	$1,124.84	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.47 / $806.95 / $1,990.04	Professional		$518.47	$806.95	$1,990.04
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 $623.09 / $1,061.70 / $2,511.10	Professional		$623.09	$1,061.70	$2,511.10
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,057.05 / $1,593.47 / $3,856.83	Professional	50	$1,057.05	$1,593.47	$3,856.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,002.29 / $2,339.83 / $3,774.07	Facility		$2,002.29	$2,339.83	$3,774.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.29 / $1,493.52 / $2,598.08	Professional		$647.29	$1,493.52	$2,598.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $496.27 / $814.32 / $1,404.05	Facility		$496.27	$814.32	$1,404.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $555.05 / $1,124.84 / $8,384.00	Facility		$555.05	$1,124.84	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $711.41 / $1,567.10 / $5,529.44	Professional		$711.41	$1,567.10	$5,529.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $400.59 / $1,212.88	Professional		$62.75	$400.59	$1,212.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $496.27 / $814.32 / $1,406.91	Facility		$496.27	$814.32	$1,406.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,045.20 / $1,694.55 / $2,376.71	Professional		$1,045.20	$1,694.55	$2,376.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,789.42 / $3,789.42 / $3,789.42	Facility		$3,789.42	$3,789.42	$3,789.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $911.35 / $3,176.91 / $5,529.44	Professional		$911.35	$3,176.91	$5,529.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,431.73 / $5,247.53 / $7,258.50	Professional		$2,431.73	$5,247.53	$7,258.50
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 $734.96 / $1,459.76 / $3,135.99	Professional		$734.96	$1,459.76	$3,135.99