Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.71 / $833.38 / $9,245.00	Facility		$336.71	$833.38	$9,245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.71 / $456.76 / $1,102.44	Professional		$336.71	$456.76	$1,102.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.03 / $1,041.83 / $2,093.92	Professional		$491.03	$1,041.83	$2,093.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,442.69 / $1,685.90 / $2,586.21	Facility		$1,442.69	$1,685.90	$2,586.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.21 / $767.54 / $1,480.13	Professional		$403.21	$767.54	$1,480.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $396.88 / $646.10 / $1,480.68	Facility		$396.88	$646.10	$1,480.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $427.16 / $945.49 / $4,821.00	Facility		$427.16	$945.49	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $483.38 / $972.75 / $2,990.96	Professional		$483.38	$972.75	$2,990.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $321.05 / $1,025.90	Professional		$31.53	$321.05	$1,025.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $396.88 / $646.10 / $1,480.68	Facility		$396.88	$646.10	$1,480.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $845.57 / $1,265.70 / $1,775.23	Professional		$845.57	$1,265.70	$1,775.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $781.52 / $1,044.50 / $1,899.28	Facility		$781.52	$1,044.50	$1,899.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $489.08 / $1,831.30 / $4,012.32	Professional		$489.08	$1,831.30	$4,012.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $700.89 / $700.89 / $953.14	Professional		$700.89	$700.89	$953.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $828.26 / $1,715.92 / $2,319.23	Professional		$828.26	$1,715.92	$2,319.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,523.30 / $6,031.18	Facility		$2,976.00	$4,523.30	$6,031.18
United Facility/Professional Professional Modifier Low / Median / High Price $473.50 / $788.51 / $2,030.22	Professional		$473.50	$788.51	$2,030.22