Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.53 / $1,363.16 / $14,482.00	Facility		$623.53	$1,363.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $594.32 / $623.53 / $2,394.05	Professional		$594.32	$623.53	$2,394.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $10,038.00	Facility		$2,740.00	$4,780.00	$10,038.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.24 / $1,731.73 / $3,789.51	Professional		$652.24	$1,731.73	$3,789.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,758.99 / $2,055.51 / $3,315.47	Facility		$1,758.99	$2,055.51	$3,315.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.71 / $1,928.50 / $2,777.44	Professional		$902.71	$1,928.50	$2,777.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $623.53 / $735.00 / $1,302.58	Facility		$623.53	$735.00	$1,302.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $666.44 / $2,781.00 / $6,150.00	Facility		$666.44	$2,781.00	$6,150.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $759.90 / $1,608.85 / $4,278.45	Professional		$759.90	$1,608.85	$4,278.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $542.41 / $1,364.22	Professional		$65.00	$542.41	$1,364.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $623.53 / $735.00 / $1,302.58	Facility		$623.53	$735.00	$1,302.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $2,007.40 / $2,364.60	Professional		$1,300.00	$2,007.40	$2,364.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,713.60 / $4,713.60 / $4,713.60	Facility		$4,713.60	$4,713.60	$4,713.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $934.67 / $3,217.70 / $4,970.72	Professional		$934.67	$3,217.70	$4,970.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,853.47 / $1,853.47 / $1,853.47	Professional		$1,853.47	$1,853.47	$1,853.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,082.31 / $3,767.03 / $3,767.03	Professional		$2,082.31	$3,767.03	$3,767.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $735.33 / $1,846.19 / $3,160.04	Professional		$735.33	$1,846.19	$3,160.04