Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.80 / $1,017.99 / $3,119.00	Facility		$448.80	$1,017.99	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.02 / $534.83 / $1,555.04	Professional		$351.02	$534.83	$1,555.04
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 $479.39 / $1,144.35 / $2,673.17	Professional		$479.39	$1,144.35	$2,673.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,330.05 / $1,554.27 / $2,506.98	Facility		$1,330.05	$1,554.27	$2,506.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.32 / $1,138.95 / $1,764.67	Professional		$553.32	$1,138.95	$1,764.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $405.12 / $542.57 / $771.09	Facility		$405.12	$542.57	$771.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $408.52 / $725.84 / $8,384.00	Facility		$408.52	$725.84	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $523.55 / $1,523.44 / $3,161.09	Professional		$523.55	$1,523.44	$3,161.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $340.18 / $1,045.42	Professional		$40.93	$340.18	$1,045.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $405.12 / $542.92 / $771.09	Facility		$405.12	$542.92	$771.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $821.43 / $1,175.33 / $1,712.29	Professional		$821.43	$1,175.33	$1,712.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,047.52 / $3,047.52 / $3,047.52	Facility		$3,047.52	$3,047.52	$3,047.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $517.98 / $2,116.31 / $3,699.76	Professional		$517.98	$2,116.31	$3,699.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $885.68 / $885.68 / $1,219.27	Professional		$885.68	$885.68	$1,219.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,064.99 / $2,222.81 / $3,006.97	Professional		$1,064.99	$2,222.81	$3,006.97
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,611.00 / $9,134.00	Facility		$4,918.00	$7,611.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $494.06 / $1,308.18 / $1,991.16	Professional		$494.06	$1,308.18	$1,991.16