Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.54 / $751.21 / $6,461.00	Facility		$398.54	$751.21	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.81 / $481.15 / $1,219.58	Professional		$339.81	$481.15	$1,219.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.64 / $1,010.78 / $2,604.11	Professional		$483.64	$1,010.78	$2,604.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,385.92 / $1,619.56 / $2,484.44	Facility		$1,385.92	$1,619.56	$2,484.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.27 / $770.26 / $1,893.49	Professional		$433.27	$770.26	$1,893.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $385.35 / $634.27 / $1,414.50	Facility		$385.35	$634.27	$1,414.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $400.64 / $906.26 / $1,627.02	Facility		$400.64	$906.26	$1,627.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.74 / $957.50 / $3,030.41	Professional		$524.74	$957.50	$3,030.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $382.91 / $1,048.43	Professional		$26.80	$382.91	$1,048.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $385.35 / $634.27 / $1,414.50	Facility		$385.35	$634.27	$1,414.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $799.56 / $1,199.72 / $1,766.12	Professional		$799.56	$1,199.72	$1,766.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $704.47 / $941.51 / $2,561.64	Facility		$704.47	$941.51	$2,561.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $508.97 / $1,708.30 / $3,847.36	Professional		$508.97	$1,708.30	$3,847.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,296.09 / $1,296.09 / $1,902.11	Professional		$1,296.09	$1,296.09	$1,902.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,317.30 / $1,823.09 / $2,627.24	Professional		$1,317.30	$1,823.09	$2,627.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $508.16 / $785.03 / $2,217.98	Professional		$508.16	$785.03	$2,217.98