Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.15 / $1,091.27 / $14,482.00	Facility		$404.15	$1,091.27	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.49 / $488.28 / $1,045.05	Professional		$344.49	$488.28	$1,045.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $8,746.00 / $15,579.70	Facility		$5,479.00	$8,746.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.31 / $1,022.52 / $2,820.63	Professional		$415.31	$1,022.52	$2,820.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,421.07 / $1,660.63 / $2,547.44	Facility		$1,421.07	$1,660.63	$2,547.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.75 / $1,071.35 / $2,145.33	Professional		$425.75	$1,071.35	$2,145.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $334.71 / $486.66 / $855.45	Facility		$334.71	$486.66	$855.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $341.03 / $513.91 / $4,614.00	Facility		$341.03	$513.91	$4,614.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $466.88 / $1,582.31 / $3,917.92	Professional		$466.88	$1,582.31	$3,917.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $480.60 / $1,144.54	Professional		$52.71	$480.60	$1,144.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $322.64 / $478.37 / $855.45	Facility		$322.64	$478.37	$855.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $811.63 / $1,217.46 / $1,811.28	Professional		$811.63	$1,217.46	$1,811.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $616.29 / $2,321.48 / $2,600.34	Facility		$616.29	$2,321.48	$2,600.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $514.12 / $2,247.98 / $3,917.92	Professional		$514.12	$2,247.98	$3,917.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,317.92 / $1,317.92 / $1,947.70	Professional		$1,317.92	$1,317.92	$1,947.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,199.74 / $1,853.23 / $2,683.04	Professional		$1,199.74	$1,853.23	$2,683.04
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,280.00 / $8,384.00	Facility		$4,918.00	$7,280.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.17 / $903.00 / $2,221.69	Professional		$465.17	$903.00	$2,221.69