Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.96 / $1,282.08 / $14,482.00	Facility		$387.96	$1,282.08	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.22 / $387.96 / $1,018.11	Professional		$329.22	$387.96	$1,018.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,344.00 / $10,382.04	Facility		$5,169.00	$7,344.00	$10,382.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.93 / $795.81 / $2,057.11	Professional		$352.93	$795.81	$2,057.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.53 / $1,059.34 / $1,625.07	Facility		$906.53	$1,059.34	$1,625.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.33 / $1,204.50 / $1,444.50	Professional		$457.33	$1,204.50	$1,444.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $348.23 / $486.08 / $892.50	Facility		$348.23	$486.08	$892.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $345.01 / $543.14 / $6,955.00	Facility		$345.01	$543.14	$6,955.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $390.47 / $867.10 / $2,826.69	Professional		$390.47	$867.10	$2,826.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $589.04 / $862.07	Professional		$85.00	$589.04	$862.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $348.01 / $458.81 / $892.50	Facility		$348.01	$458.81	$892.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $632.40 / $843.41 / $1,461.34	Professional		$632.40	$843.41	$1,461.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $401.58 / $6,482.70 / $6,482.70	Facility		$401.58	$6,482.70	$6,482.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $574.66 / $1,815.62 / $2,826.69	Professional		$574.66	$1,815.62	$2,826.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,297.09 / $1,297.09 / $1,297.09	Professional		$1,297.09	$1,297.09	$1,297.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,207.94 / $1,763.74 / $1,763.74	Professional		$1,207.94	$1,763.74	$1,763.74
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 $371.72 / $724.85 / $1,811.02	Professional		$371.72	$724.85	$1,811.02