Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.84 / $802.37 / $14,482.00	Facility		$497.84	$802.37	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.02 / $497.84 / $802.37	Professional		$287.02	$497.84	$802.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.62 / $970.46 / $2,411.14	Professional		$397.62	$970.46	$2,411.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.64 / $1,164.65 / $1,878.54	Facility		$996.64	$1,164.65	$1,878.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $677.55 / $1,207.60 / $1,601.32	Professional		$677.55	$1,207.60	$1,601.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $392.27 / $556.66 / $773.74	Facility		$392.27	$556.66	$773.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $452.34 / $2,803.00 / $7,868.00	Facility		$452.34	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $477.88 / $1,378.45 / $2,226.67	Professional		$477.88	$1,378.45	$2,226.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $513.14 / $1,008.25	Professional		$85.00	$513.14	$1,008.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $392.27 / $556.66 / $773.74	Facility		$392.27	$556.66	$773.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $805.35 / $1,243.58 / $1,623.58	Professional		$805.35	$1,243.58	$1,623.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,198.71 / $5,198.71 / $5,198.71	Facility		$5,198.71	$5,198.71	$5,198.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $693.21 / $1,974.85 / $2,974.16	Professional		$693.21	$1,974.85	$2,974.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,051.96 / $2,051.96 / $2,051.96	Professional		$2,051.96	$2,051.96	$2,051.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,826.98 / $2,706.03 / $2,706.03	Professional		$1,826.98	$2,706.03	$2,706.03
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 $477.88 / $1,394.24 / $1,944.36	Professional		$477.88	$1,394.24	$1,944.36