Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.00 / $879.77 / $14,482.00	Facility		$541.00	$879.77	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.16 / $541.00 / $1,570.92	Professional		$304.16	$541.00	$1,570.92
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 $426.36 / $968.96 / $2,537.52	Professional		$426.36	$968.96	$2,537.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,094.85 / $1,279.43 / $2,063.67	Facility		$1,094.85	$1,279.43	$2,063.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $799.23 / $1,324.46 / $1,901.80	Professional		$799.23	$1,324.46	$1,901.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $430.11 / $678.41 / $949.47	Facility		$430.11	$678.41	$949.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $497.02 / $6,564.00 / $12,216.00	Facility		$497.02	$6,564.00	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $527.79 / $1,435.19 / $2,506.42	Professional		$527.79	$1,435.19	$2,506.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.40 / $444.89 / $983.70	Professional		$68.40	$444.89	$983.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $430.11 / $678.41 / $949.47	Facility		$430.11	$678.41	$949.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $885.95 / $1,368.04 / $1,780.67	Professional		$885.95	$1,368.04	$1,780.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,011.04 / $9,011.04 / $9,011.04	Facility		$9,011.04	$9,011.04	$9,011.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $824.32 / $2,191.35 / $3,260.16	Professional		$824.32	$2,191.35	$3,260.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,224.11 / $2,224.11 / $2,224.11	Professional		$2,224.11	$2,224.11	$2,224.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,997.67 / $2,967.89 / $2,967.89	Professional		$1,997.67	$2,967.89	$2,967.89
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 $513.97 / $1,393.88 / $2,099.33	Professional		$513.97	$1,393.88	$2,099.33