Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.02 / $1,091.05 / $14,482.00	Facility		$494.02	$1,091.05	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.50 / $494.02 / $677.96	Professional		$424.50	$494.02	$677.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.23 / $1,210.30 / $2,696.58	Professional		$476.23	$1,210.30	$2,696.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.93 / $1,630.09 / $2,629.28	Facility		$1,394.93	$1,630.09	$2,629.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.52 / $1,534.50 / $2,216.23	Professional		$722.52	$1,534.50	$2,216.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $494.02 / $581.89 / $1,042.56	Facility		$494.02	$581.89	$1,042.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $533.40 / $7,081.00 / $12,216.00	Facility		$533.40	$7,081.00	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $550.25 / $1,197.58 / $2,699.51	Professional		$550.25	$1,197.58	$2,699.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $421.79 / $1,110.11	Professional		$62.33	$421.79	$1,110.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $494.02 / $581.89 / $1,042.56	Facility		$494.02	$581.89	$1,042.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $688.54 / $1,263.66 / $1,894.04	Professional		$688.54	$1,263.66	$1,894.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,957.00 / $8,957.00 / $8,957.00	Facility		$8,957.00	$8,957.00	$8,957.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $743.72 / $2,246.13 / $3,967.20	Professional		$743.72	$2,246.13	$3,967.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,324.06 / $1,324.06 / $1,324.06	Professional		$1,324.06	$1,324.06	$1,324.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,997.40 / $2,997.40 / $2,997.40	Professional		$2,997.40	$2,997.40	$2,997.40
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $509.05 / $1,328.20 / $2,324.07	Professional		$509.05	$1,328.20	$2,324.07