Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.80 / $929.93 / $14,482.00	Facility		$365.80	$929.93	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.33 / $446.05 / $929.93	Professional		$324.33	$446.05	$929.93
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 $407.21 / $914.71 / $2,513.00	Professional		$407.21	$914.71	$2,513.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,190.38 / $1,391.05 / $2,133.91	Facility		$1,190.38	$1,391.05	$2,133.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.82 / $940.76 / $1,814.55	Professional		$448.82	$940.76	$1,814.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $336.29 / $503.40 / $888.60	Facility		$336.29	$503.40	$888.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $344.14 / $520.39 / $5,080.00	Facility		$344.14	$520.39	$5,080.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.91 / $1,559.28 / $3,315.60	Professional		$478.91	$1,559.28	$3,315.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $411.73 / $1,008.57	Professional		$50.00	$411.73	$1,008.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $336.29 / $506.76 / $888.60	Facility		$336.29	$506.76	$888.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $692.31 / $1,049.82 / $1,550.99	Professional		$692.31	$1,049.82	$1,550.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $550.69 / $2,288.76 / $16,547.20	Facility		$550.69	$2,288.76	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $496.57 / $1,896.75 / $3,315.60	Professional		$496.57	$1,896.75	$3,315.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,216.21 / $1,216.21 / $1,708.30	Professional		$1,216.21	$1,216.21	$1,708.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,304.65 / $1,644.44 / $2,263.83	Professional		$1,304.65	$1,644.44	$2,263.83
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 $475.51 / $1,027.50 / $2,033.60	Professional		$475.51	$1,027.50	$2,033.60