Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.23 / $932.90 / $14,482.00	Facility		$579.23	$932.90	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.95 / $579.23 / $932.90	Professional		$319.95	$579.23	$932.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.38 / $1,130.17 / $2,806.11	Professional		$459.38	$1,130.17	$2,806.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,160.64 / $1,356.30 / $2,187.67	Facility		$1,160.64	$1,356.30	$2,187.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $811.98 / $1,406.34 / $1,861.73	Professional		$811.98	$1,406.34	$1,861.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $456.08 / $643.13 / $899.62	Facility		$456.08	$643.13	$899.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $525.17 / $2,803.00 / $7,868.00	Facility		$525.17	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $556.20 / $1,569.98 / $2,593.30	Professional		$556.20	$1,569.98	$2,593.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $656.61 / $1,241.00	Professional		$85.00	$656.61	$1,241.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $456.08 / $643.13 / $899.62	Facility		$456.08	$643.13	$899.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $934.70 / $1,443.32 / $1,890.76	Professional		$934.70	$1,443.32	$1,890.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,811.84 / $8,811.84 / $8,811.84	Facility		$8,811.84	$8,811.84	$8,811.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $807.29 / $2,298.65 / $3,464.64	Professional		$807.29	$2,298.65	$3,464.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,388.13 / $2,388.13 / $2,388.13	Professional		$2,388.13	$2,388.13	$2,388.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,151.42 / $3,151.42 / $3,151.42	Professional		$3,151.42	$3,151.42	$3,151.42
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 $556.20 / $1,528.20 / $2,264.51	Professional		$556.20	$1,528.20	$2,264.51