Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.76 / $860.58 / $14,482.00	Facility		$534.76	$860.58	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.91 / $534.76 / $2,097.81	Professional		$411.91	$534.76	$2,097.81
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 $587.35 / $1,100.08 / $3,050.02	Professional		$587.35	$1,100.08	$3,050.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,069.63 / $1,249.95 / $2,016.12	Facility		$1,069.63	$1,249.95	$2,016.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $764.97 / $1,297.22 / $1,945.70	Professional		$764.97	$1,297.22	$1,945.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $420.73 / $671.28 / $829.43	Facility		$420.73	$671.28	$829.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $484.96 / $2,803.00 / $7,868.00	Facility		$484.96	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $703.68 / $1,766.28 / $3,197.04	Professional		$703.68	$1,766.28	$3,197.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $561.66 / $1,084.79	Professional		$85.00	$561.66	$1,084.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $420.73 / $671.28 / $829.43	Facility		$420.73	$671.28	$829.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $863.20 / $1,332.91 / $1,744.04	Professional		$863.20	$1,332.91	$1,744.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,589.10 / $5,589.10 / $5,589.10	Facility		$5,589.10	$5,589.10	$5,589.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $744.65 / $2,914.65 / $3,197.04	Professional		$744.65	$2,914.65	$3,197.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,309.13 / $2,309.13 / $2,309.13	Professional		$2,309.13	$2,309.13	$2,309.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,906.82 / $2,906.82 / $2,906.82	Professional		$2,906.82	$2,906.82	$2,906.82
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 $652.50 / $1,783.72 / $2,874.93	Professional		$652.50	$1,783.72	$2,874.93