Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.16 / $1,513.41 / $14,482.00	Facility		$457.16	$1,513.41	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.12 / $457.16 / $1,159.36	Professional		$382.12	$457.16	$1,159.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,419.00 / $4,441.52	Facility		$1,139.00	$2,419.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.67 / $937.77 / $2,403.66	Professional		$394.67	$937.77	$2,403.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,084.05 / $1,266.80 / $1,943.30	Facility		$1,084.05	$1,266.80	$1,943.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.05 / $1,332.29 / $1,706.10	Professional		$446.05	$1,332.29	$1,706.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $320.80 / $461.57 / $842.37	Facility		$320.80	$461.57	$842.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.50 / $534.88 / $1,590.00	Facility		$346.50	$534.88	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $423.33 / $933.81 / $3,083.68	Professional		$423.33	$933.81	$3,083.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.47 / $341.57 / $934.59	Professional		$61.47	$341.57	$934.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $319.77 / $461.57 / $837.15	Facility		$319.77	$461.57	$837.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $748.80 / $998.65 / $1,725.98	Professional		$748.80	$998.65	$1,725.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $466.67 / $2,919.30 / $2,919.30	Facility		$466.67	$2,919.30	$2,919.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $577.91 / $1,972.90 / $3,083.68	Professional		$577.91	$1,972.90	$3,083.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,501.55 / $1,501.55 / $1,501.55	Professional		$1,501.55	$1,501.55	$1,501.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,371.89 / $2,083.15 / $2,083.15	Professional		$1,371.89	$2,083.15	$2,083.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,590.00 / $2,202.90	Facility		$1,008.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $403.68 / $830.20 / $1,780.54	Professional		$403.68	$830.20	$1,780.54