Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.23 / $974.09 / $14,482.00	Facility		$335.23	$974.09	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.00 / $431.70 / $828.26	Professional		$286.00	$431.70	$828.26
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 $349.56 / $900.13 / $2,348.71	Professional		$349.56	$900.13	$2,348.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,270.58 / $1,484.77 / $2,277.67	Facility		$1,270.58	$1,484.77	$2,277.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.20 / $958.52 / $1,959.73	Professional		$378.20	$958.52	$1,959.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $291.20 / $456.28 / $756.43	Facility		$291.20	$456.28	$756.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $291.47 / $476.22 / $7,217.00	Facility		$291.47	$476.22	$7,217.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $393.27 / $1,322.75 / $3,487.44	Professional		$393.27	$1,322.75	$3,487.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $447.94 / $1,053.55	Professional		$52.71	$447.94	$1,053.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $286.00 / $447.58 / $756.43	Facility		$286.00	$447.58	$756.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $672.84 / $1,060.65 / $1,569.75	Professional		$672.84	$1,060.65	$1,569.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $510.73 / $1,953.95 / $2,157.17	Facility		$510.73	$1,953.95	$2,157.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $443.84 / $2,004.84 / $3,487.44	Professional		$443.84	$2,004.84	$3,487.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,092.00 / $1,092.00 / $1,733.04	Professional		$1,092.00	$1,092.00	$1,733.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,004.67 / $1,539.06 / $2,392.85	Professional		$1,004.67	$1,539.06	$2,392.85
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,733.00 / $13,980.00	Facility		$5,266.00	$11,733.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.77 / $884.54 / $2,184.27	Professional		$416.77	$884.54	$2,184.27