Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.30 / $1,341.10 / $14,482.00	Facility		$405.30	$1,341.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.33 / $405.30 / $1,081.86	Professional		$342.33	$405.30	$1,081.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,290.00 / $18,458.00	Facility		$7,084.00	$11,290.00	$18,458.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.71 / $831.38 / $2,133.85	Professional		$366.71	$831.38	$2,133.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $926.35 / $1,082.51 / $1,660.61	Facility		$926.35	$1,082.51	$1,660.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.78 / $1,243.93 / $1,497.16	Professional		$486.78	$1,243.93	$1,497.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $365.75 / $468.22 / $752.28	Facility		$365.75	$468.22	$752.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $365.73 / $519.04 / $13,982.00	Facility		$365.73	$519.04	$13,982.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $423.79 / $886.86 / $2,754.33	Professional		$423.79	$886.86	$2,754.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $649.26 / $938.54	Professional		$85.00	$649.26	$938.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $365.75 / $468.22 / $749.00	Facility		$365.75	$468.22	$749.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $666.00 / $888.22 / $1,514.60	Professional		$666.00	$888.22	$1,514.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $428.89 / $37,231.85 / $37,231.85	Facility		$428.89	$37,231.85	$37,231.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $628.44 / $1,942.95 / $2,754.33	Professional		$628.44	$1,942.95	$2,754.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,345.49 / $1,345.49 / $1,345.49	Professional		$1,345.49	$1,345.49	$1,345.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.30 / $1,828.01 / $1,828.01	Professional		$1,105.30	$1,828.01	$1,828.01
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $12,373.00 / $15,903.00	Facility		$6,154.00	$12,373.00	$15,903.00
United Facility/Professional Professional Modifier Low / Median / High Price $401.74 / $808.83 / $1,659.02	Professional		$401.74	$808.83	$1,659.02