Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.24 / $831.22 / $14,482.00	Facility		$515.24	$831.22	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.88 / $515.24 / $1,511.93	Professional		$289.88	$515.24	$1,511.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,196.00 / $17,436.00	Facility		$6,538.00	$10,196.00	$17,436.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.58 / $922.81 / $2,424.56	Professional		$411.58	$922.81	$2,424.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,028.18 / $1,201.51 / $1,937.99	Facility		$1,028.18	$1,201.51	$1,937.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $701.92 / $1,253.46 / $1,647.36	Professional		$701.92	$1,253.46	$1,647.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $406.37 / $576.21 / $796.36	Facility		$406.37	$576.21	$796.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $472.87 / $2,803.00 / $7,868.00	Facility		$472.87	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $500.10 / $1,322.01 / $2,321.76	Professional		$500.10	$1,322.01	$2,321.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $515.23 / $1,005.13	Professional		$85.00	$515.23	$1,005.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $406.37 / $576.21 / $796.36	Facility		$406.37	$576.21	$796.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $845.65 / $1,305.81 / $1,685.22	Professional		$845.65	$1,305.81	$1,685.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,969.48 / $1,969.48 / $1,969.48	Facility		$1,969.48	$1,969.48	$1,969.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $719.52 / $2,054.40 / $4,680.88	Professional		$719.52	$2,054.40	$4,680.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,125.10 / $2,125.10 / $2,125.10	Professional		$2,125.10	$2,125.10	$2,125.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,887.42 / $2,808.73 / $2,808.73	Professional		$1,887.42	$2,808.73	$2,808.73
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 $500.10 / $1,463.31 / $2,102.85	Professional		$500.10	$1,463.31	$2,102.85