Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.78 / $884.34 / $14,482.00	Facility		$548.78	$884.34	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.73 / $548.78 / $884.34	Professional		$327.73	$548.78	$884.34
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 $439.16 / $1,071.36 / $2,659.52	Professional		$439.16	$1,071.36	$2,659.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,098.47 / $1,283.64 / $2,070.46	Facility		$1,098.47	$1,283.64	$2,070.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.08 / $1,332.10 / $1,763.89	Professional		$786.08	$1,332.10	$1,763.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $432.34 / $614.82 / $852.80	Facility		$432.34	$614.82	$852.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $498.09 / $2,803.00 / $7,868.00	Facility		$498.09	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $527.03 / $1,520.31 / $2,457.11	Professional		$527.03	$1,520.31	$2,457.11
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 $432.34 / $614.82 / $852.80	Facility		$432.34	$614.82	$852.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $886.60 / $1,369.05 / $1,790.95	Professional		$886.60	$1,369.05	$1,790.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,954.02 / $10,954.02 / $10,954.02	Facility		$10,954.02	$10,954.02	$10,954.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $764.68 / $2,178.10 / $3,281.60	Professional		$764.68	$2,178.10	$3,281.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,263.34 / $2,263.34 / $2,263.34	Professional		$2,263.34	$2,263.34	$2,263.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,985.09 / $2,985.09 / $2,985.09	Professional		$2,985.09	$2,985.09	$2,985.09
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 $527.03 / $1,551.42 / $2,145.59	Professional		$527.03	$1,551.42	$2,145.59