Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.63 / $915.50 / $14,482.00	Facility		$539.63	$915.50	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.07 / $539.63 / $1,594.29	Professional		$359.07	$539.63	$1,594.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,485.00 / $18,276.00	Facility		$7,084.00	$11,485.00	$18,276.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.15 / $1,186.04 / $2,678.32	Professional		$448.15	$1,186.04	$2,678.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,141.72 / $1,334.19 / $2,152.00	Facility		$1,141.72	$1,334.19	$2,152.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $773.09 / $1,365.61 / $1,831.51	Professional		$773.09	$1,365.61	$1,831.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $447.58 / $631.37 / $885.52	Facility		$447.58	$631.37	$885.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $516.16 / $5,266.00 / $15,743.00	Facility		$516.16	$5,266.00	$15,743.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $538.72 / $1,481.07 / $3,167.62	Professional		$538.72	$1,481.07	$3,167.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $635.38 / $1,121.51	Professional		$85.00	$635.38	$1,121.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $447.58 / $631.37 / $885.52	Facility		$447.58	$631.37	$885.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $919.75 / $1,420.24 / $1,822.06	Professional		$919.75	$1,420.24	$1,822.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,486.75 / $13,486.75 / $13,486.75	Facility		$13,486.75	$13,486.75	$13,486.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $791.97 / $2,231.85 / $3,394.08	Professional		$791.97	$2,231.85	$3,394.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,094.00 / $1,094.00 / $1,094.00	Professional		$1,094.00	$1,094.00	$1,094.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,050.67 / $2,665.13 / $2,665.13	Professional		$1,050.67	$2,665.13	$2,665.13
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 $500.56 / $1,362.71 / $1,995.27	Professional		$500.56	$1,362.71	$1,995.27