Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.39 / $782.66 / $3,119.00	Facility		$318.39	$782.66	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.39 / $482.22 / $1,182.46	Professional		$318.39	$482.22	$1,182.46
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 $493.95 / $1,097.92 / $2,195.30	Professional		$493.95	$1,097.92	$2,195.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,532.81 / $1,791.20 / $2,747.75	Facility		$1,532.81	$1,791.20	$2,747.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.59 / $919.69 / $1,587.90	Professional		$422.59	$919.69	$1,587.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $378.43 / $672.69 / $1,572.42	Facility		$378.43	$672.69	$1,572.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $411.40 / $873.97 / $1,756.00	Facility		$411.40	$873.97	$1,756.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $519.11 / $947.20 / $2,824.56	Professional		$519.11	$947.20	$2,824.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $440.85 / $1,150.40	Professional		$62.33	$440.85	$1,150.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $378.43 / $672.69 / $1,572.42	Facility		$378.43	$672.69	$1,572.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $853.87 / $1,280.40 / $1,880.17	Professional		$853.87	$1,280.40	$1,880.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $733.96 / $980.94 / $2,685.90	Facility		$733.96	$980.94	$2,685.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $619.76 / $1,845.50 / $4,273.12	Professional		$619.76	$1,845.50	$4,273.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $699.94 / $699.94 / $1,085.31	Professional		$699.94	$699.94	$1,085.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $675.09 / $1,612.26 / $2,467.88	Professional		$675.09	$1,612.26	$2,467.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $501.74 / $898.50 / $2,084.57	Professional		$501.74	$898.50	$2,084.57