Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.84 / $764.15 / $14,482.00	Facility		$472.84	$764.15	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.18 / $472.84 / $1,386.27	Professional		$266.18	$472.84	$1,386.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,637.00 / $7,653.00 / $11,863.00	Facility		$4,637.00	$7,653.00	$11,863.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.42 / $846.88 / $2,226.77	Professional		$378.42	$846.88	$2,226.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.47 / $1,102.52 / $1,778.33	Facility		$943.47	$1,102.52	$1,778.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.28 / $1,151.55 / $1,715.74	Professional		$645.28	$1,151.55	$1,715.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $373.58 / $597.53 / $840.00	Facility		$373.58	$597.53	$840.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $434.71 / $2,678.00 / $7,700.00	Facility		$434.71	$2,678.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $468.26 / $1,259.09 / $2,223.69	Professional		$468.26	$1,259.09	$2,223.69
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 $373.58 / $597.53 / $840.00	Facility		$373.58	$597.53	$840.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $778.05 / $1,201.43 / $1,548.20	Professional		$778.05	$1,201.43	$1,548.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,812.05 / $1,812.05 / $1,812.05	Facility		$1,812.05	$1,812.05	$1,812.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $661.03 / $1,885.70 / $13,299.44	Professional		$661.03	$1,885.70	$13,299.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,951.76 / $1,951.76 / $1,951.76	Professional		$1,951.76	$1,951.76	$1,951.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,735.12 / $2,580.41 / $2,580.41	Professional		$1,735.12	$2,580.41	$2,580.41
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 $468.26 / $1,346.89 / $1,860.11	Professional		$468.26	$1,346.89	$1,860.11