Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.08 / $264.08 / $14,482.00	Facility		$264.08	$264.08	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.08 / $410.61 / $868.27	Professional		$264.08	$410.61	$868.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.38 / $736.10 / $1,780.77	Professional		$374.38	$736.10	$1,780.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,312.03 / $1,533.21 / $2,351.98	Facility		$1,312.03	$1,533.21	$2,351.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.75 / $1,913.76 / $2,174.73	Professional		$552.75	$1,913.76	$2,174.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $264.08 / $658.03 / $1,520.04	Facility		$264.08	$658.03	$1,520.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $400.03 / $1,239.00 / $1,789.00	Facility		$400.03	$1,239.00	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $294.27 / $832.86 / $2,338.30	Professional		$294.27	$832.86	$2,338.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $462.24	Professional		$50.00	$50.00	$462.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $264.08 / $658.03 / $1,520.04	Facility		$264.08	$658.03	$1,520.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $785.81 / $1,301.30 / $1,859.00	Professional		$785.81	$1,301.30	$1,859.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,262.80 / $2,558.37 / $2,558.37	Facility		$1,262.80	$2,558.37	$2,558.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,266.27 / $2,313.86 / $3,394.40	Professional		$2,266.27	$2,313.86	$3,394.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.02 / $1,698.02 / $1,698.02	Professional		$1,698.02	$1,698.02	$1,698.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,913.22 / $2,913.22 / $2,913.22	Professional		$2,913.22	$2,913.22	$2,913.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $212.86 / $694.05 / $2,027.78	Professional		$212.86	$694.05	$2,027.78