Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.37 / $1,006.92 / $14,482.00	Facility		$603.37	$1,006.92	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.08 / $603.37 / $1,794.56	Professional		$359.08	$603.37	$1,794.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.08 / $1,279.10 / $2,911.54	Professional		$442.08	$1,279.10	$2,911.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,311.13 / $1,532.16 / $2,471.32	Facility		$1,311.13	$1,532.16	$2,471.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.80 / $1,518.94 / $2,068.76	Professional		$666.80	$1,518.94	$2,068.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $492.27 / $618.91 / $962.17	Facility		$492.27	$618.91	$962.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.02 / $2,781.00 / $6,150.00	Facility		$537.02	$2,781.00	$6,150.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $526.97 / $1,391.21 / $3,186.28	Professional		$526.97	$1,391.21	$3,186.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $318.89 / $989.78	Professional		$39.56	$318.89	$989.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $492.27 / $618.91 / $962.17	Facility		$492.27	$618.91	$962.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.20 / $1,468.00 / $1,736.81	Professional		$954.20	$1,468.00	$1,736.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,728.65 / $3,728.65 / $3,728.65	Facility		$3,728.65	$3,728.65	$3,728.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $690.80 / $2,245.00 / $4,066.00	Professional		$690.80	$2,245.00	$4,066.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,212.09 / $1,212.09 / $1,212.09	Professional		$1,212.09	$1,212.09	$1,212.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,086.61 / $2,964.39 / $2,964.39	Professional		$1,086.61	$2,964.39	$2,964.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.19 / $1,342.55 / $2,007.03	Professional		$486.19	$1,342.55	$2,007.03