Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.47 / $755.19 / $14,482.00	Facility		$464.47	$755.19	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.37 / $464.47 / $1,505.97	Professional		$292.37	$464.47	$1,505.97
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 $404.39 / $930.57 / $2,293.33	Professional		$404.39	$930.57	$2,293.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $941.67 / $1,100.42 / $1,774.93	Facility		$941.67	$1,100.42	$1,774.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.83 / $1,136.55 / $1,512.11	Professional		$686.83	$1,136.55	$1,512.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $369.20 / $581.70 / $885.20	Facility		$369.20	$581.70	$885.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $425.95 / $7,081.00 / $12,216.00	Facility		$425.95	$7,081.00	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $471.54 / $1,190.64 / $2,278.75	Professional		$471.54	$1,190.64	$2,278.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.40 / $400.04 / $903.77	Professional		$68.40	$400.04	$903.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $369.20 / $581.70 / $885.20	Facility		$369.20	$581.70	$885.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $759.20 / $1,172.32 / $1,528.04	Professional		$759.20	$1,172.32	$1,528.04
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 $707.36 / $1,964.75 / $3,416.61	Professional		$707.36	$1,964.75	$3,416.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,906.29 / $1,906.29 / $1,906.29	Professional		$1,906.29	$1,906.29	$1,906.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.67 / $2,546.86 / $2,546.86	Professional		$1,122.67	$2,546.86	$2,546.86
United Facility/Professional Facility Modifier Low / Median / High Price $4,017.00 / $9,158.00 / $12,062.00	Facility		$4,017.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $472.79 / $1,196.71 / $2,278.75	Professional		$472.79	$1,196.71	$2,278.75