Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.11 / $1,665.43 / $14,482.00	Facility		$499.11	$1,665.43	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.90 / $499.11 / $1,310.87	Professional		$427.90	$499.11	$1,310.87
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 $436.40 / $1,023.82 / $2,630.80	Professional		$436.40	$1,023.82	$2,630.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,180.47 / $1,379.47 / $2,116.14	Facility		$1,180.47	$1,379.47	$2,116.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.94 / $1,241.18 / $1,865.11	Professional		$512.94	$1,241.18	$1,865.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $436.80 / $555.66 / $935.00	Facility		$436.80	$555.66	$935.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.80 / $644.97 / $10,843.00	Facility		$436.80	$644.97	$10,843.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $462.41 / $1,008.46 / $3,403.68	Professional		$462.41	$1,008.46	$3,403.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $407.35 / $996.69	Professional		$65.00	$407.35	$996.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $433.23 / $552.82 / $935.00	Facility		$433.23	$552.82	$935.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $852.00 / $1,136.28 / $1,886.84	Professional		$852.00	$1,136.28	$1,886.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $528.22 / $11,102.00 / $11,102.00	Facility		$528.22	$11,102.00	$11,102.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $741.85 / $2,186.60 / $3,403.68	Professional		$741.85	$2,186.60	$3,403.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,658.87 / $1,658.87 / $1,658.87	Professional		$1,658.87	$1,658.87	$1,658.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,509.69 / $2,277.31 / $2,277.31	Professional		$1,509.69	$2,277.31	$2,277.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,953.00 / $12,062.00	Facility		$4,240.00	$9,953.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $460.15 / $875.48 / $1,973.41	Professional		$460.15	$875.48	$1,973.41