Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.32 / $771.62 / $3,119.00	Facility		$412.32	$771.62	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.00 / $486.72 / $1,265.72	Professional		$346.00	$486.72	$1,265.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.03 / $1,040.36 / $2,675.72	Professional		$497.03	$1,040.36	$2,675.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,429.18 / $1,670.11 / $2,561.98	Facility		$1,429.18	$1,670.11	$2,561.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.92 / $748.46 / $2,050.75	Professional		$443.92	$748.46	$2,050.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $411.53 / $630.92 / $1,428.30	Facility		$411.53	$630.92	$1,428.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $411.53 / $917.88 / $5,261.00	Facility		$411.53	$917.88	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $528.37 / $985.76 / $3,089.27	Professional		$528.37	$985.76	$3,089.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $408.76 / $1,085.71	Professional		$29.98	$408.76	$1,085.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $411.53 / $630.92 / $1,428.30	Facility		$411.53	$630.92	$1,428.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $819.92 / $1,219.19 / $1,784.11	Professional		$819.92	$1,219.19	$1,784.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $723.60 / $967.09 / $2,635.32	Facility		$723.60	$967.09	$2,635.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $524.25 / $1,757.60 / $3,952.64	Professional		$524.25	$1,757.60	$3,952.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,343.96 / $1,343.96 / $1,946.20	Professional		$1,343.96	$1,343.96	$1,946.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,367.16 / $1,889.76 / $2,705.87	Professional		$1,367.16	$1,889.76	$2,705.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.63 / $763.96 / $2,261.06	Professional		$492.63	$763.96	$2,261.06