Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.50 / $895.39 / $14,482.00	Facility		$555.50	$895.39	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.33 / $555.50 / $1,595.78	Professional		$320.33	$555.50	$1,595.78
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 $444.41 / $1,084.45 / $2,693.29	Professional		$444.41	$1,084.45	$2,693.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,111.98 / $1,299.44 / $2,095.94	Facility		$1,111.98	$1,299.44	$2,095.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.11 / $1,348.13 / $1,786.91	Professional		$756.11	$1,348.13	$1,786.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $437.75 / $622.16 / $863.42	Facility		$437.75	$622.16	$863.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $504.60 / $2,803.00 / $7,868.00	Facility		$504.60	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $533.15 / $1,538.15 / $2,487.17	Professional		$533.15	$1,538.15	$2,487.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $608.09 / $1,164.46	Professional		$85.00	$608.09	$1,164.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $437.75 / $622.16 / $863.42	Facility		$437.75	$622.16	$863.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $898.30 / $1,387.11 / $1,812.49	Professional		$898.30	$1,387.11	$1,812.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,805.80 / $5,805.80 / $5,805.80	Facility		$5,805.80	$5,805.80	$5,805.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $773.87 / $2,203.65 / $3,320.88	Professional		$773.87	$2,203.65	$3,320.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,292.10 / $2,292.10 / $2,292.10	Professional		$2,292.10	$2,292.10	$2,292.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,020.90 / $3,020.90 / $3,020.90	Professional		$3,020.90	$3,020.90	$3,020.90
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 $533.15 / $1,349.63 / $2,171.84	Professional		$533.15	$1,349.63	$2,171.84