Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.68 / $575.34 / $2,014.50	Facility		$197.68	$575.34	$2,014.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.68 / $575.34 / $1,266.61	Professional		$197.68	$575.34	$1,266.61
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 $323.13 / $857.48 / $2,448.60	Professional		$323.13	$857.48	$2,448.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,531.90 / $1,790.15 / $2,746.14	Facility		$1,531.90	$1,790.15	$2,746.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.60 / $913.35 / $2,547.08	Professional		$328.60	$913.35	$2,547.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $197.68 / $459.60 / $1,133.84	Facility		$197.68	$459.60	$1,133.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $203.80 / $579.16 / $4,377.80	Facility		$203.80	$579.16	$4,377.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $461.51 / $1,029.65 / $4,557.05	Professional		$461.51	$1,029.65	$4,557.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $446.42 / $1,183.23	Professional		$31.53	$446.42	$1,183.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $197.68 / $459.60 / $1,133.84	Facility		$197.68	$459.60	$1,133.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $482.79 / $836.69 / $1,797.95	Professional		$482.79	$836.69	$1,797.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,049.94 / $1,049.94 / $1,049.94	Facility		$1,049.94	$1,049.94	$1,049.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $437.71 / $2,415.83 / $4,557.05	Professional		$437.71	$2,415.83	$4,557.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $662.03 / $662.03 / $1,978.31	Professional		$662.03	$662.03	$1,978.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $616.41 / $1,279.10 / $3,652.20	Professional		$616.41	$1,279.10	$3,652.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $494.79 / $915.24 / $2,082.17	Professional		$494.79	$915.24	$2,082.17