Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.99 / $784.78 / $14,482.00	Facility		$486.99	$784.78	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.07 / $486.99 / $1,457.04	Professional		$271.07	$486.99	$1,457.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.39 / $952.94 / $2,362.84	Professional		$388.39	$952.94	$2,362.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.72 / $1,142.54 / $1,842.87	Facility		$977.72	$1,142.54	$1,842.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.70 / $1,185.59 / $1,565.35	Professional		$662.70	$1,185.59	$1,565.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $383.67 / $543.75 / $756.22	Facility		$383.67	$543.75	$756.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $444.56 / $2,803.00 / $7,868.00	Facility		$444.56	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $468.65 / $1,198.36 / $2,173.81	Professional		$468.65	$1,198.36	$2,173.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $576.10 / $974.04	Professional		$85.00	$576.10	$974.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $383.67 / $543.75 / $756.22	Facility		$383.67	$543.75	$756.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $792.35 / $1,223.51 / $1,593.99	Professional		$792.35	$1,223.51	$1,593.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,845.32 / $1,845.32 / $1,845.32	Facility		$1,845.32	$1,845.32	$1,845.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $680.58 / $1,936.35 / $4,042.84	Professional		$680.58	$1,936.35	$4,042.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,010.89 / $2,010.89 / $2,010.89	Professional		$2,010.89	$2,010.89	$2,010.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,838.24 / $2,656.72 / $2,656.72	Professional		$1,838.24	$2,656.72	$2,656.72
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 $468.65 / $1,198.36 / $1,898.20	Professional		$468.65	$1,198.36	$1,898.20