Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.60 / $996.10 / $14,482.00	Facility		$457.60	$996.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.85 / $457.60 / $1,562.98	Professional		$425.85	$457.60	$1,562.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.81 / $1,248.14 / $3,162.50	Professional		$457.81	$1,248.14	$3,162.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.85 / $1,471.08 / $2,372.80	Facility		$1,258.85	$1,471.08	$2,372.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.43 / $1,494.61 / $2,017.22	Professional		$885.43	$1,494.61	$2,017.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $273.00 / $531.25 / $951.83	Facility		$273.00	$531.25	$951.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $428.01 / $4,103.00 / $8,384.00	Facility		$428.01	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $531.32 / $1,192.51 / $2,666.34	Professional		$531.32	$1,192.51	$2,666.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $397.24 / $1,068.02	Professional		$63.30	$397.24	$1,068.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $273.00 / $531.25 / $951.83	Facility		$273.00	$531.25	$951.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $982.80 / $1,512.00 / $2,023.67	Professional		$982.80	$1,512.00	$2,023.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,817.20 / $6,817.20 / $6,817.20	Facility		$6,817.20	$6,817.20	$6,817.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $930.22 / $2,296.75 / $3,621.52	Professional		$930.22	$2,296.75	$3,621.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,085.79 / $2,085.79 / $2,085.79	Professional		$2,085.79	$2,085.79	$2,085.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $371.38 / $2,647.02 / $2,647.02	Professional		$371.38	$2,647.02	$2,647.02
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $526.04 / $1,321.51 / $2,542.19	Professional		$526.04	$1,321.51	$2,542.19