Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.27 / $934.36 / $14,482.00	Facility		$503.27	$934.36	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.90 / $503.27 / $1,279.80	Professional		$421.90	$503.27	$1,279.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,955.00 / $13,152.00	Facility		$5,060.00	$7,955.00	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.43 / $1,032.33 / $2,643.83	Professional		$439.43	$1,032.33	$2,643.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,189.48 / $1,390.00 / $2,132.30	Facility		$1,189.48	$1,390.00	$2,132.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.83 / $1,469.82 / $1,876.60	Professional		$530.83	$1,469.82	$1,876.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $376.24 / $503.27 / $892.83	Facility		$376.24	$503.27	$892.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $408.05 / $588.83 / $4,602.00	Facility		$408.05	$588.83	$4,602.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $469.67 / $1,030.20 / $3,395.28	Professional		$469.67	$1,030.20	$3,395.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $408.82 / $996.31	Professional		$65.00	$408.82	$996.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $376.24 / $503.27 / $892.83	Facility		$376.24	$503.27	$892.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $824.40 / $1,099.47 / $1,898.46	Professional		$824.40	$1,099.47	$1,898.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $514.80 / $3,213.30 / $3,213.30	Facility		$514.80	$3,213.30	$3,213.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $635.66 / $2,176.55 / $3,395.28	Professional		$635.66	$2,176.55	$3,395.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,653.38 / $1,653.38 / $1,653.38	Professional		$1,653.38	$1,653.38	$1,653.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,509.51 / $2,291.34 / $2,291.34	Professional		$1,509.51	$2,291.34	$2,291.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.36 / $953.33 / $1,964.34	Professional		$467.36	$953.33	$1,964.34