Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.37 / $1,336.41 / $6,461.00	Facility		$435.37	$1,336.41	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.37 / $610.15 / $1,907.84	Professional		$435.37	$610.15	$1,907.84
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 $622.60 / $1,493.47 / $3,151.70	Professional		$622.60	$1,493.47	$3,151.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,740.06 / $2,033.40 / $3,279.80	Facility		$1,740.06	$2,033.40	$3,279.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,491.16 / $2,289.50	Professional		$758.58	$1,491.16	$2,289.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $435.37 / $712.75 / $1,260.00	Facility		$435.37	$712.75	$1,260.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $518.84 / $1,061.22 / $8,384.00	Facility		$518.84	$1,061.22	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $700.82 / $1,910.10 / $4,458.00	Professional		$700.82	$1,910.10	$4,458.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $1,210.13 / $1,598.73	Professional		$70.00	$1,210.13	$1,598.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $435.37 / $712.75 / $1,260.00	Facility		$435.37	$712.75	$1,260.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,053.00 / $1,538.16 / $2,192.19	Professional		$1,053.00	$1,538.16	$2,192.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,329.76 / $3,329.76 / $3,329.76	Facility		$3,329.76	$3,329.76	$3,329.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $659.51 / $2,771.64 / $4,851.43	Professional		$659.51	$2,771.64	$4,851.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,281.69 / $1,281.69 / $1,807.46	Professional		$1,281.69	$1,281.69	$1,807.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,705.32 / $2,658.03 / $3,698.72	Professional		$1,705.32	$2,658.03	$3,698.72
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 $640.35 / $1,491.10 / $2,914.45	Professional		$640.35	$1,491.10	$2,914.45