Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.87 / $1,122.68 / $14,482.00	Facility		$390.87	$1,122.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.68 / $485.25 / $1,135.21	Professional		$326.68	$485.25	$1,135.21
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 $424.82 / $1,051.89 / $2,821.00	Professional		$424.82	$1,051.89	$2,821.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,462.52 / $1,709.07 / $2,621.75	Facility		$1,462.52	$1,709.07	$2,621.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.91 / $1,099.24 / $2,128.94	Professional		$445.91	$1,099.24	$2,128.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $336.30 / $516.13 / $975.93	Facility		$336.30	$516.13	$975.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $340.31 / $547.22 / $4,614.00	Facility		$340.31	$547.22	$4,614.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $513.38 / $1,642.96 / $4,039.28	Professional		$513.38	$1,642.96	$4,039.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $461.19 / $1,141.81	Professional		$50.00	$461.19	$1,141.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $327.97 / $503.50 / $997.16	Facility		$327.97	$503.50	$997.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $773.91 / $1,233.28 / $1,843.08	Professional		$773.91	$1,233.28	$1,843.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $589.50 / $2,468.21 / $7,909.30	Facility		$589.50	$2,468.21	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $542.59 / $2,319.71 / $4,039.28	Professional		$542.59	$2,319.71	$4,039.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,283.66 / $1,283.66 / $2,046.14	Professional		$1,283.66	$1,283.66	$2,046.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,226.19 / $1,777.99 / $2,768.66	Professional		$1,226.19	$1,777.99	$2,768.66
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,754.00 / $8,384.00	Facility		$4,614.00	$6,754.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $498.97 / $1,037.27 / $2,319.87	Professional		$498.97	$1,037.27	$2,319.87