Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.84 / $734.00 / $14,482.00	Facility		$453.84	$734.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.44 / $453.84 / $2,036.72	Professional		$399.44	$453.84	$2,036.72
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 $375.97 / $906.37 / $2,523.03	Professional		$375.97	$906.37	$2,523.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.43 / $1,060.40 / $1,710.39	Facility		$907.43	$1,060.40	$1,710.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $652.44 / $1,107.00 / $1,742.73	Professional		$652.44	$1,107.00	$1,742.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $358.84 / $573.41 / $966.00	Facility		$358.84	$573.41	$966.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $418.56 / $2,553.00 / $7,700.00	Facility		$418.56	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $541.80 / $1,304.07 / $2,948.06	Professional		$541.80	$1,304.07	$2,948.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $555.38 / $902.59	Professional		$85.00	$555.38	$902.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $358.84 / $573.41 / $966.00	Facility		$358.84	$573.41	$966.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $746.20 / $1,152.25 / $1,488.30	Professional		$746.20	$1,152.25	$1,488.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,505.44 / $2,505.44 / $2,505.44	Facility		$2,505.44	$2,505.44	$2,505.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $635.46 / $2,710.19 / $3,982.75	Professional		$635.46	$2,710.19	$3,982.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,874.82 / $1,874.82 / $1,874.82	Professional		$1,874.82	$1,874.82	$1,874.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,480.58 / $2,480.58 / $2,969.02	Professional		$2,480.58	$2,480.58	$2,969.02
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 $453.85 / $1,164.92 / $1,912.36	Professional		$453.85	$1,164.92	$1,912.36