Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.59 / $815.90 / $8,993.82	Facility		$469.59	$815.90	$8,993.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.61 / $552.77 / $1,932.79	Professional		$404.61	$552.77	$1,932.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.91 / $1,153.55 / $2,365.26	Professional		$514.91	$1,153.55	$2,365.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,384.12 / $1,617.45 / $2,608.90	Facility		$1,384.12	$1,617.45	$2,608.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $633.89 / $1,286.18 / $1,933.39	Professional		$633.89	$1,286.18	$1,933.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $435.14 / $634.83 / $1,042.54	Facility		$435.14	$634.83	$1,042.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $469.59 / $865.10 / $14,978.00	Facility		$469.59	$865.10	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $672.19 / $1,845.62 / $3,936.22	Professional		$672.19	$1,845.62	$3,936.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $436.67 / $1,156.80	Professional		$63.30	$436.67	$1,156.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $435.14 / $634.83 / $1,042.54	Facility		$435.14	$634.83	$1,042.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $854.33 / $1,250.67 / $1,865.67	Professional		$854.33	$1,250.67	$1,865.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,720.46 / $2,720.46 / $2,720.46	Facility		$2,720.46	$2,720.46	$2,720.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $543.52 / $2,213.51 / $3,936.22	Professional		$543.52	$2,213.51	$3,936.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $938.00 / $938.00 / $1,278.25	Professional		$938.00	$938.00	$1,278.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,400.40 / $2,332.40 / $3,145.09	Professional		$1,400.40	$2,332.40	$3,145.09
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 $647.03 / $2,039.26 / $2,559.52	Professional		$647.03	$2,039.26	$2,559.52