Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.14 / $1,517.10 / $14,482.00	Facility		$454.14	$1,517.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.62 / $454.14 / $1,190.07	Professional		$355.62	$454.14	$1,190.07
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 $393.07 / $931.56 / $2,393.71	Professional		$393.07	$931.56	$2,393.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,075.04 / $1,256.26 / $1,927.14	Facility		$1,075.04	$1,256.26	$1,927.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.46 / $1,390.66 / $1,699.06	Professional		$467.46	$1,390.66	$1,699.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $396.49 / $512.79 / $877.00	Facility		$396.49	$512.79	$877.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $404.32 / $579.66 / $4,292.39	Facility		$404.32	$579.66	$4,292.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $415.58 / $934.24 / $3,100.80	Professional		$415.58	$934.24	$3,100.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.47 / $344.78 / $1,029.08	Professional		$61.47	$344.78	$1,029.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $387.01 / $511.23 / $877.00	Facility		$387.01	$511.23	$877.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $776.40 / $1,035.46 / $1,718.86	Professional		$776.40	$1,035.46	$1,718.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $481.34 / $3,590.15 / $3,590.15	Facility		$481.34	$3,590.15	$3,590.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $693.69 / $1,973.80 / $3,100.80	Professional		$693.69	$1,973.80	$3,100.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,506.50 / $1,506.50 / $1,506.50	Professional		$1,506.50	$1,506.50	$1,506.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,290.84 / $2,074.58 / $2,074.58	Professional		$1,290.84	$2,074.58	$2,074.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,925.00 / $3,827.00 / $6,438.00	Facility		$2,925.00	$3,827.00	$6,438.00
United Facility/Professional Professional Modifier Low / Median / High Price $411.76 / $868.47 / $2,045.13	Professional		$411.76	$868.47	$2,045.13