Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.38 / $501.38 / $17,823.00	Facility		$501.38	$501.38	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.38 / $501.38 / $2,311.62	Professional		$441.38	$501.38	$2,311.62
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 $452.62 / $1,028.46 / $2,864.08	Professional		$452.62	$1,028.46	$2,864.08
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 $714.52 / $1,916.98 / $2,178.39	Professional		$714.52	$1,916.98	$2,178.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $448.82 / $594.28 / $1,238.08	Facility		$448.82	$594.28	$1,238.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $448.82 / $668.93 / $5,887.00	Facility		$448.82	$668.93	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $487.70 / $1,018.04 / $16,500.00	Professional		$487.70	$1,018.04	$16,500.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $1,415.69	Professional		$50.00	$85.00	$1,415.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $448.82 / $594.28 / $1,238.08	Facility		$448.82	$594.28	$1,238.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $630.95 / $1,157.96 / $1,667.06	Professional		$630.95	$1,157.96	$1,667.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $547.70 / $16,500.00 / $16,500.00	Facility		$547.70	$16,500.00	$16,500.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $854.62 / $5,973.00 / $16,500.00	Professional		$854.62	$5,973.00	$16,500.00
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 $495.23 / $1,006.88 / $2,181.19	Professional		$495.23	$1,006.88	$2,181.19