Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.30 / $1,616.75 / $14,482.00	Facility		$431.30	$1,616.75	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.15 / $452.34 / $2,016.11	Professional		$415.15	$452.34	$2,016.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,532.89 / $15,287.53	Facility		$5,169.00	$7,532.89	$15,287.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.01 / $995.31 / $2,686.23	Professional		$418.01	$995.31	$2,686.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,149.83 / $1,343.67 / $2,061.21	Facility		$1,149.83	$1,343.67	$2,061.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $677.42 / $1,764.57 / $2,005.19	Professional		$677.42	$1,764.57	$2,005.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $431.30 / $561.61 / $953.17	Facility		$431.30	$561.61	$953.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $431.30 / $866.84 / $13,120.00	Facility		$431.30	$866.84	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $499.32 / $881.88 / $3,309.60	Professional		$499.32	$881.88	$3,309.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $327.92 / $899.32	Professional		$62.75	$327.92	$899.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $431.30 / $546.00 / $953.17	Facility		$431.30	$546.00	$953.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $893.10 / $1,088.21 / $1,624.48	Professional		$893.10	$1,088.21	$1,624.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,697.19 / $3,697.19 / $3,697.19	Facility		$3,697.19	$3,697.19	$3,697.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $825.57 / $2,108.90 / $3,309.60	Professional		$825.57	$2,108.90	$3,309.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,440.81 / $1,440.81 / $1,440.81	Professional		$1,440.81	$1,440.81	$1,440.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $696.34 / $2,199.17 / $2,808.24	Professional		$696.34	$2,199.17	$2,808.24
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.94 / $877.02 / $1,919.10	Professional		$467.94	$877.02	$1,919.10