Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.61 / $916.07 / $14,482.00	Facility		$562.61	$916.07	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.66 / $562.61 / $1,717.63	Professional		$329.66	$562.61	$1,717.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,944.00 / $6,654.00 / $10,382.04	Facility		$1,944.00	$6,654.00	$10,382.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.55 / $1,082.19 / $2,714.71	Professional		$438.55	$1,082.19	$2,714.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,144.42 / $1,337.35 / $2,157.10	Facility		$1,144.42	$1,337.35	$2,157.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $773.57 / $1,379.80 / $2,062.53	Professional		$773.57	$1,379.80	$2,062.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $447.85 / $703.48 / $1,007.94	Facility		$447.85	$703.48	$1,007.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $515.39 / $2,553.00 / $7,700.00	Facility		$515.39	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $544.12 / $1,484.36 / $2,583.94	Professional		$544.12	$1,484.36	$2,583.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $511.05 / $1,042.76	Professional		$76.54	$511.05	$1,042.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $447.85 / $703.48 / $1,007.94	Facility		$447.85	$703.48	$1,007.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $918.45 / $1,418.23 / $1,855.07	Professional		$918.45	$1,418.23	$1,855.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,940.44 / $5,940.44 / $5,940.44	Facility		$5,940.44	$5,940.44	$5,940.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $792.05 / $2,217.27 / $5,098.60	Professional		$792.05	$2,217.27	$5,098.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,310.32 / $2,310.32 / $2,310.32	Professional		$2,310.32	$2,310.32	$2,310.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,080.08 / $3,091.85 / $3,091.85	Professional		$2,080.08	$3,091.85	$3,091.85
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 $528.67 / $1,342.49 / $2,156.25	Professional		$528.67	$1,342.49	$2,156.25