Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.53 / $804.02 / $3,119.00	Facility		$215.53	$804.02	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.53 / $338.34 / $1,375.78	Professional		$215.53	$338.34	$1,375.78
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 $347.36 / $747.68 / $1,559.07	Professional		$347.36	$747.68	$1,559.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,035.39 / $1,209.93 / $1,856.07	Facility		$1,035.39	$1,209.93	$1,856.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.20 / $535.58 / $1,145.66	Professional		$284.20	$535.58	$1,145.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $256.25 / $464.54 / $1,073.60	Facility		$256.25	$464.54	$1,073.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $279.82 / $706.14 / $1,642.00	Facility		$279.82	$706.14	$1,642.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $118.23 / $118.23 / $118.23	Facility	AS	$118.23	$118.23	$118.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $387.42 / $730.22 / $1,916.00	Professional		$387.42	$730.22	$1,916.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $253.71 / $422.02 / $965.52	Professional		$253.71	$422.02	$965.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $256.25 / $464.54 / $1,073.60	Facility		$256.25	$464.54	$1,073.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $578.54 / $859.10 / $1,271.11	Professional		$578.54	$859.10	$1,271.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $496.65 / $663.77 / $1,804.02	Facility		$496.65	$663.77	$1,804.02
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $49.67 / $66.38 / $118.23	Facility	AS	$49.67	$66.38	$118.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $326.33 / $1,078.15 / $2,910.40	Professional		$326.33	$1,078.15	$2,910.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $586.39 / $1,089.15 / $1,676.49	Professional		$586.39	$1,089.15	$1,676.49
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 $350.94 / $614.59 / $1,467.60	Professional		$350.94	$614.59	$1,467.60