Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.41 / $629.60 / $14,482.00	Facility		$389.41	$629.60	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.92 / $389.41 / $1,653.13	Professional		$319.92	$389.41	$1,653.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.11 / $824.33 / $2,124.61	Professional		$324.11	$824.33	$2,124.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.57 / $909.82 / $1,467.50	Facility		$778.57	$909.82	$1,467.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.64 / $949.28 / $1,467.97	Professional		$559.64	$949.28	$1,467.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $307.80 / $492.00 / $1,176.00	Facility		$307.80	$492.00	$1,176.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $359.11 / $2,553.00 / $7,700.00	Facility		$359.11	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $470.09 / $1,131.46 / $2,349.05	Professional		$470.09	$1,131.46	$2,349.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $497.64 / $826.57	Professional		$85.00	$497.64	$826.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $307.80 / $492.00 / $1,176.00	Facility		$307.80	$492.00	$1,176.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $640.25 / $988.64 / $1,276.26	Professional		$640.25	$988.64	$1,276.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,017.05 / $2,017.05 / $2,017.05	Facility		$2,017.05	$2,017.05	$2,017.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $544.91 / $2,162.03 / $3,830.56	Professional		$544.91	$2,162.03	$3,830.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,608.54 / $1,608.54 / $1,608.54	Professional		$1,608.54	$1,608.54	$1,608.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,028.64 / $2,127.17 / $2,386.64	Professional		$2,028.64	$2,127.17	$2,386.64
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 $389.04 / $1,144.43 / $1,611.35	Professional		$389.04	$1,144.43	$1,611.35