Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.10 / $827.06 / $14,482.00	Facility		$504.10	$827.06	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.81 / $504.10 / $1,357.32	Professional		$239.81	$504.10	$1,357.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.50 / $902.87 / $2,354.81	Professional		$380.50	$902.87	$2,354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,043.50 / $1,219.41 / $1,966.86	Facility		$1,043.50	$1,219.41	$1,966.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.41 / $1,240.81 / $1,683.32	Professional		$698.41	$1,240.81	$1,683.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $404.34 / $622.49 / $817.89	Facility		$404.34	$622.49	$817.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $458.56 / $6,564.00 / $12,216.00	Facility		$458.56	$6,564.00	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $455.77 / $1,157.49 / $2,252.41	Professional		$455.77	$1,157.49	$2,252.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.40 / $393.55 / $899.32	Professional		$68.40	$393.55	$899.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $404.34 / $622.49 / $817.89	Facility		$404.34	$622.49	$817.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $817.05 / $1,261.65 / $1,668.22	Professional		$817.05	$1,261.65	$1,668.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,044.60 / $13,044.60 / $13,044.60	Facility		$13,044.60	$13,044.60	$13,044.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $712.27 / $1,910.05 / $3,008.80	Professional		$712.27	$1,910.05	$3,008.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,063.94 / $2,063.94 / $2,063.94	Professional		$2,063.94	$2,063.94	$2,063.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,410.38 / $2,780.45 / $2,780.45	Professional		$1,410.38	$2,780.45	$2,780.45
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $455.77 / $1,157.49 / $1,849.10	Professional		$455.77	$1,157.49	$1,849.10