Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.23 / $1,344.31 / $14,482.00	Facility		$401.23	$1,344.31	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.13 / $401.23 / $1,049.65	Professional		$344.13	$401.23	$1,049.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $7,344.00	Facility		$2,740.00	$4,931.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.71 / $823.05 / $2,118.92	Professional		$349.71	$823.05	$2,118.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $951.58 / $1,112.00 / $1,705.84	Facility		$951.58	$1,112.00	$1,705.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.40 / $1,232.98 / $1,504.03	Professional		$428.40	$1,232.98	$1,504.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $359.76 / $469.34 / $940.50	Facility		$359.76	$469.34	$940.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $357.97 / $542.19 / $7,160.00	Facility		$357.97	$542.19	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.27 / $833.33 / $4,015.48	Professional		$371.27	$833.33	$4,015.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.47 / $281.86 / $789.18	Professional		$61.47	$281.86	$789.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $359.76 / $469.44 / $894.90	Facility		$359.76	$469.44	$894.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $687.00 / $916.23 / $1,521.54	Professional		$687.00	$916.23	$1,521.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $425.93 / $7,929.30 / $7,929.30	Facility		$425.93	$7,929.30	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $624.52 / $1,750.00 / $4,015.48	Professional		$624.52	$1,750.00	$4,015.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,329.78 / $1,329.78 / $1,329.78	Professional		$1,329.78	$1,329.78	$1,329.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,218.59 / $1,836.42 / $1,836.42	Professional		$1,218.59	$1,836.42	$1,836.42
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $7,611.00 / $8,788.00	Facility		$4,614.00	$7,611.00	$8,788.00
United Facility/Professional Professional Modifier Low / Median / High Price $382.72 / $860.77 / $1,579.38	Professional		$382.72	$860.77	$1,579.38