Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.48 / $852.77 / $3,119.00	Facility		$346.48	$852.77	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.48 / $514.09 / $1,080.83	Professional		$346.48	$514.09	$1,080.83
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 $538.19 / $1,155.26 / $2,356.71	Professional		$538.19	$1,155.26	$2,356.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,597.69 / $1,867.02 / $2,864.06	Facility		$1,597.69	$1,867.02	$2,864.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.85 / $968.42 / $1,665.88	Professional		$460.85	$968.42	$1,665.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $409.04 / $711.22 / $1,641.27	Facility		$409.04	$711.22	$1,641.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $413.18 / $918.54 / $1,756.95	Facility		$413.18	$918.54	$1,756.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $547.09 / $1,033.68 / $3,080.56	Professional		$547.09	$1,033.68	$3,080.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $470.76 / $1,173.99	Professional		$62.33	$470.76	$1,173.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $409.04 / $711.22 / $1,641.27	Facility		$409.04	$711.22	$1,641.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $930.81 / $1,382.78 / $1,961.30	Professional		$930.81	$1,382.78	$1,961.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $799.71 / $1,068.81 / $2,928.90	Facility		$799.71	$1,068.81	$2,928.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $674.94 / $2,039.30 / $4,470.24	Professional		$674.94	$2,039.30	$4,470.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $761.98 / $761.98 / $1,144.17	Professional		$761.98	$761.98	$1,144.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $738.84 / $1,755.82 / $2,576.64	Professional		$738.84	$1,755.82	$2,576.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,202.90	Facility		$1,034.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $547.09 / $938.37 / $2,212.32	Professional		$547.09	$938.37	$2,212.32