Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.69 / $884.00 / $14,482.00	Facility		$543.69	$884.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.23 / $543.69 / $884.00	Professional		$330.23	$543.69	$884.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.92 / $1,054.11 / $2,627.21	Professional		$429.92	$1,054.11	$2,627.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,111.98 / $1,299.44 / $2,095.94	Facility		$1,111.98	$1,299.44	$2,095.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $746.48 / $1,332.96 / $1,782.60	Professional		$746.48	$1,332.96	$1,782.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $432.18 / $601.89 / $861.14	Facility		$432.18	$601.89	$861.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $492.38 / $14,999.00 / $72,213.00	Facility		$492.38	$14,999.00	$72,213.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.16 / $1,488.90 / $2,408.73	Professional		$512.16	$1,488.90	$2,408.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $492.91 / $1,040.93	Professional		$76.54	$492.91	$1,040.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $432.18 / $601.89 / $861.14	Facility		$432.18	$601.89	$861.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $876.20 / $1,352.99 / $1,792.10	Professional		$876.20	$1,352.99	$1,792.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $42,548.30 / $42,548.30 / $42,548.30	Facility		$42,548.30	$42,548.30	$42,548.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $765.17 / $2,133.10 / $3,253.04	Professional		$765.17	$2,133.10	$3,253.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,235.89 / $2,235.89 / $2,235.89	Professional		$2,235.89	$2,235.89	$2,235.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,986.97 / $2,986.97 / $2,986.97	Professional		$2,986.97	$2,986.97	$2,986.97
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $17,955.00 / $80,121.00	Facility		$8,650.00	$17,955.00	$80,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.16 / $1,311.77 / $2,103.34	Professional		$512.16	$1,311.77	$2,103.34