Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.95 / $1,544.45 / $14,482.00	Facility		$462.95	$1,544.45	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.03 / $462.95 / $764.42	Professional		$390.03	$462.95	$764.42
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 $395.68 / $949.64 / $2,433.89	Professional		$395.68	$949.64	$2,433.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,097.56 / $1,282.58 / $1,967.53	Facility		$1,097.56	$1,282.58	$1,967.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.44 / $1,442.11 / $1,727.56	Professional		$475.44	$1,442.11	$1,727.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $393.51 / $527.83 / $956.88	Facility		$393.51	$527.83	$956.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $393.51 / $626.80 / $7,160.00	Facility		$393.51	$626.80	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $424.71 / $965.09 / $3,117.60	Professional		$424.71	$965.09	$3,117.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $383.40 / $921.18	Professional		$65.00	$383.40	$921.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $393.51 / $529.29 / $956.88	Facility		$393.51	$529.29	$956.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $762.00 / $1,016.25 / $1,747.69	Professional		$762.00	$1,016.25	$1,747.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $472.42 / $7,929.30 / $7,929.30	Facility		$472.42	$7,929.30	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $664.04 / $2,046.85 / $3,117.60	Professional		$664.04	$2,046.85	$3,117.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,529.24 / $1,529.24 / $1,529.24	Professional		$1,529.24	$1,529.24	$1,529.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,315.31 / $2,109.36 / $2,109.36	Professional		$1,315.31	$2,109.36	$2,109.36
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 $409.37 / $837.52 / $1,854.45	Professional		$409.37	$837.52	$1,854.45