Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.49 / $976.32 / $14,482.00	Facility		$601.49	$976.32	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.29 / $601.49 / $976.32	Professional		$370.29	$601.49	$976.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.47 / $1,160.57 / $2,909.60	Professional		$489.47	$1,160.57	$2,909.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,225.52 / $1,432.12 / $2,309.96	Facility		$1,225.52	$1,432.12	$2,309.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $824.44 / $1,472.41 / $1,963.88	Professional		$824.44	$1,472.41	$1,963.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $477.31 / $685.26 / $949.29	Facility		$477.31	$685.26	$949.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $544.95 / $7,251.10 / $12,631.00	Facility		$544.95	$7,251.10	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $601.54 / $1,635.36 / $2,738.06	Professional		$601.54	$1,635.36	$2,738.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $507.64 / $1,110.41	Professional		$76.54	$507.64	$1,110.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $477.31 / $685.26 / $949.29	Facility		$477.31	$685.26	$949.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $762.56 / $1,259.40 / $1,763.99	Professional		$762.56	$1,259.40	$1,763.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,911.50 / $13,911.50 / $13,911.50	Facility		$13,911.50	$13,911.50	$13,911.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $845.21 / $2,506.44 / $3,600.32	Professional		$845.21	$2,506.44	$3,600.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,476.17 / $2,476.17 / $2,476.17	Professional		$2,476.17	$2,476.17	$2,476.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,299.43 / $3,299.43 / $3,299.43	Professional		$3,299.43	$3,299.43	$3,299.43
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,882.00 / $12,631.00	Facility		$6,241.00	$9,882.00	$12,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $601.10 / $1,635.36 / $2,320.91	Professional		$601.10	$1,635.36	$2,320.91