Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.64 / $962.08 / $14,482.00	Facility		$346.64	$962.08	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.98 / $430.74 / $906.11	Professional		$293.98	$430.74	$906.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.12 / $899.03 / $2,500.14	Professional		$375.12	$899.03	$2,500.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.35 / $1,465.82 / $2,248.60	Facility		$1,254.35	$1,465.82	$2,248.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.50 / $943.56 / $1,941.16	Professional		$380.50	$943.56	$1,941.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $299.80 / $457.15 / $769.66	Facility		$299.80	$457.15	$769.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $303.93 / $471.38 / $4,614.00	Facility		$303.93	$471.38	$4,614.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $427.59 / $1,430.63 / $3,462.72	Professional		$427.59	$1,430.63	$3,462.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $429.65 / $1,022.78	Professional		$52.71	$429.65	$1,022.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $291.87 / $449.48 / $769.66	Facility		$291.87	$449.48	$769.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $692.84 / $1,073.11 / $1,597.79	Professional		$692.84	$1,073.11	$1,597.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $522.47 / $2,208.96 / $3,388.71	Facility		$522.47	$2,208.96	$3,388.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $453.98 / $1,985.85 / $3,462.72	Professional		$453.98	$1,985.85	$3,462.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,140.31 / $1,140.31 / $1,731.27	Professional		$1,140.31	$1,140.31	$1,731.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,020.37 / $1,572.86 / $2,370.19	Professional		$1,020.37	$1,572.86	$2,370.19
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 $403.42 / $775.48 / $1,987.35	Professional		$403.42	$775.48	$1,987.35