Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $506.56 / $818.08 / $14,482.00	Facility		$506.56	$818.08	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.48 / $506.56 / $634.17	Professional		$287.48	$506.56	$634.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $18,175.43 / $28,720.00	Facility		$12,080.00	$18,175.43	$28,720.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.56 / $990.40 / $2,765.28	Professional		$401.56	$990.40	$2,765.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,021.87 / $1,194.14 / $1,926.10	Facility		$1,021.87	$1,194.14	$1,926.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.00 / $1,235.32 / $1,635.85	Professional		$695.00	$1,235.32	$1,635.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $399.95 / $634.17 / $781.72	Facility		$399.95	$634.17	$781.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $459.15 / $3,364.00 / $7,868.00	Facility		$459.15	$3,364.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $487.88 / $1,355.07 / $2,276.67	Professional		$487.88	$1,355.07	$2,276.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $462.94 / $1,029.85	Professional		$85.00	$462.94	$1,029.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $399.95 / $634.17 / $781.72	Facility		$399.95	$634.17	$781.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $540.26 / $1,061.03 / $1,486.15	Professional		$540.26	$1,061.03	$1,486.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,902.89 / $1,902.89 / $1,902.89	Facility		$1,902.89	$1,902.89	$1,902.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $709.12 / $1,679.49 / $3,035.92	Professional		$709.12	$1,679.49	$3,035.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,093.58 / $2,093.58 / $2,093.58	Professional		$2,093.58	$2,093.58	$2,093.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,768.16 / $2,768.16 / $2,768.16	Professional		$2,768.16	$2,768.16	$2,768.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.88 / $1,355.07 / $2,074.60	Professional		$487.88	$1,355.07	$2,074.60