Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.43 / $2,218.41 / $14,482.00	Facility		$900.43	$2,218.41	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.94 / $802.48 / $2,131.31	Professional		$540.94	$802.48	$2,131.31
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 $569.89 / $1,162.58 / $2,806.00	Professional		$569.89	$1,162.58	$2,806.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $887.44 / $1,778.07 / $4,321.42	Professional	50	$887.44	$1,778.07	$4,321.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,595.88 / $1,864.92 / $3,008.04	Facility		$1,595.88	$1,864.92	$3,008.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $709.98 / $1,462.73 / $2,174.78	Professional		$709.98	$1,462.73	$2,174.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $560.53 / $828.28 / $1,232.66	Facility		$560.53	$828.28	$1,232.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $627.41 / $4,103.00 / $8,384.00	Facility		$627.41	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $583.97 / $1,218.39 / $5,166.30	Professional		$583.97	$1,218.39	$5,166.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $346.10 / $1,006.90	Professional		$62.75	$346.10	$1,006.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $560.53 / $828.28 / $1,583.54	Facility		$560.53	$828.28	$1,583.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,075.80 / $1,420.06 / $2,015.69	Professional		$1,075.80	$1,420.06	$2,015.69
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 $995.00 / $2,927.70 / $5,166.30	Professional		$995.00	$2,927.70	$5,166.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,932.70 / $3,628.47 / $5,845.70	Professional		$1,932.70	$3,628.47	$5,845.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $593.04 / $1,179.16 / $2,566.13	Professional		$593.04	$1,179.16	$2,566.13