Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.55 / $493.55 / $17,823.00	Facility		$493.55	$493.55	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.27 / $493.55 / $3,228.67	Professional		$467.27	$493.55	$3,228.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,783.00 / $18,458.00	Facility		$7,084.00	$11,783.00	$18,458.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.53 / $883.97 / $2,507.94	Professional		$389.53	$883.97	$2,507.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,073.23 / $1,254.16 / $2,022.91	Facility		$1,073.23	$1,254.16	$2,022.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.09 / $1,311.62 / $1,735.12	Professional		$756.09	$1,311.62	$1,735.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $435.90 / $535.26 / $851.98	Facility		$435.90	$535.26	$851.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.27 / $2,803.00 / $7,868.00	Facility		$467.27	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $421.66 / $1,158.46 / $2,135.73	Professional		$421.66	$1,158.46	$2,135.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $1,132.79	Professional		$55.00	$85.00	$1,132.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $435.90 / $535.26 / $851.98	Facility		$435.90	$535.26	$851.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.28 / $1,012.18 / $1,451.30	Professional		$549.28	$1,012.18	$1,451.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,934.67 / $1,934.67 / $1,934.67	Facility		$1,934.67	$1,934.67	$1,934.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $735.13 / $7,059.00 / $7,231.97	Professional		$735.13	$7,059.00	$7,231.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,149.94 / $2,149.94 / $2,149.94	Professional		$2,149.94	$2,149.94	$2,149.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,607.28 / $2,987.88 / $2,987.88	Professional		$2,607.28	$2,987.88	$2,987.88
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 $421.66 / $1,254.86 / $1,864.95	Professional		$421.66	$1,254.86	$1,864.95