Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.05 / $1,092.38 / $14,482.00	Facility		$383.05	$1,092.38	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.49 / $469.54 / $902.63	Professional		$325.49	$469.54	$902.63
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 $429.75 / $1,026.30 / $2,651.56	Professional		$429.75	$1,026.30	$2,651.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,433.68 / $1,675.37 / $2,570.06	Facility		$1,433.68	$1,675.37	$2,570.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.39 / $1,067.29 / $2,137.17	Professional		$467.39	$1,067.29	$2,137.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $350.55 / $541.57 / $902.63	Facility		$350.55	$541.57	$902.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $355.90 / $578.46 / $3,036.00	Facility		$355.90	$578.46	$3,036.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $496.69 / $1,628.15 / $3,975.68	Professional		$496.69	$1,628.15	$3,975.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $448.95 / $1,205.58	Professional		$32.22	$448.95	$1,205.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $349.49 / $540.67 / $902.63	Facility		$349.49	$540.67	$902.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $765.04 / $1,206.88 / $1,806.74	Professional		$765.04	$1,206.88	$1,806.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $583.54 / $2,451.66 / $7,909.30	Facility		$583.54	$2,451.66	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $534.16 / $2,276.55 / $3,975.68	Professional		$534.16	$2,276.55	$3,975.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,251.84 / $1,251.84 / $1,983.04	Professional		$1,251.84	$1,251.84	$1,983.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,264.56 / $1,750.42 / $2,717.11	Professional		$1,264.56	$1,750.42	$2,717.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $3,628.00 / $5,471.00	Facility		$2,960.00	$3,628.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $482.93 / $924.81 / $2,176.35	Professional		$482.93	$924.81	$2,176.35