Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.94 / $392.94 / $17,823.00	Facility		$392.94	$392.94	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.59 / $392.94 / $1,253.14	Professional		$344.59	$392.94	$1,253.14
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 $354.83 / $806.02 / $2,245.28	Professional		$354.83	$806.02	$2,245.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,344.47 / $1,571.12 / $2,410.14	Facility		$1,344.47	$1,571.12	$2,410.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.95 / $1,916.98 / $2,178.39	Professional		$547.95	$1,916.98	$2,178.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $352.20 / $535.15 / $1,064.74	Facility		$352.20	$535.15	$1,064.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $357.19 / $601.25 / $5,887.00	Facility		$357.19	$601.25	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $372.83 / $948.50 / $16,280.00	Professional		$372.83	$948.50	$16,280.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $85.00 / $1,405.43	Professional		$58.40	$85.00	$1,405.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $352.20 / $537.59 / $1,064.74	Facility		$352.20	$537.59	$1,064.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $520.05 / $954.45 / $1,374.08	Professional		$520.05	$954.45	$1,374.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $413.28 / $16,280.00 / $16,280.00	Facility		$413.28	$16,280.00	$16,280.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $6,244.50 / $16,280.00	Professional		$663.63	$6,244.50	$16,280.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,902.11 / $1,902.11 / $1,902.11	Professional		$1,902.11	$1,902.11	$1,902.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,703.96 / $2,703.96 / $2,703.96	Professional		$2,703.96	$2,703.96	$2,703.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $362.82 / $938.00 / $2,184.41	Professional		$362.82	$938.00	$2,184.41