Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.72 / $949.52 / $14,482.00	Facility		$589.72	$949.52	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.11 / $589.72 / $1,706.86	Professional		$335.11	$589.72	$1,706.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.36 / $1,151.99 / $2,856.87	Professional		$483.36	$1,151.99	$2,856.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,179.57 / $1,378.42 / $2,223.34	Facility		$1,179.57	$1,378.42	$2,223.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $801.82 / $1,430.08 / $2,032.19	Professional		$801.82	$1,430.08	$2,032.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $464.21 / $740.23 / $1,081.32	Facility		$464.21	$740.23	$1,081.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $535.29 / $2,553.00 / $7,700.00	Facility		$535.29	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $580.24 / $1,480.10 / $2,825.81	Professional		$580.24	$1,480.10	$2,825.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $687.22 / $1,197.52	Professional		$85.00	$687.22	$1,197.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $464.21 / $740.23 / $1,081.32	Facility		$464.21	$740.23	$1,081.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $952.90 / $1,471.42 / $1,922.67	Professional		$952.90	$1,471.42	$1,922.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,959.84 / $8,959.84 / $8,959.84	Facility		$8,959.84	$8,959.84	$8,959.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $820.91 / $2,396.30 / $5,668.00	Professional		$820.91	$2,396.30	$5,668.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,431.31 / $2,431.31 / $2,431.31	Professional		$2,431.31	$2,431.31	$2,431.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,156.05 / $3,204.58 / $3,204.58	Professional		$2,156.05	$3,204.58	$3,204.58
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 $579.01 / $1,480.10 / $2,132.71	Professional		$579.01	$1,480.10	$2,132.71