Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.59 / $734.63 / $14,482.00	Facility		$394.59	$734.63	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.39 / $394.59 / $734.63	Professional		$340.39	$394.59	$734.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $956.67 / $2,261.15	Professional		$346.11	$956.67	$2,261.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $915.54 / $1,069.88 / $1,725.68	Facility		$915.54	$1,069.88	$1,725.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.18 / $1,290.75 / $1,466.76	Professional		$669.18	$1,290.75	$1,466.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $359.15 / $417.92 / $701.98	Facility		$359.15	$417.92	$701.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $359.15 / $2,803.00 / $7,868.00	Facility		$359.15	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $411.68 / $1,149.29 / $2,142.12	Professional		$411.68	$1,149.29	$2,142.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $412.54 / $961.44	Professional		$85.00	$412.54	$961.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $359.15 / $417.92 / $701.98	Facility		$359.15	$417.92	$701.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $488.68 / $900.50 / $1,344.28	Professional		$488.68	$900.50	$1,344.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,030.02 / $3,030.02 / $3,030.02	Facility		$3,030.02	$3,030.02	$3,030.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $686.90 / $1,730.50 / $2,711.68	Professional		$686.90	$1,730.50	$2,711.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,317.88 / $1,317.88 / $1,317.88	Professional		$1,317.88	$1,317.88	$1,317.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,790.93 / $1,790.93 / $1,790.93	Professional		$1,790.93	$1,790.93	$1,790.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $391.10 / $1,055.05 / $1,793.04	Professional		$391.10	$1,055.05	$1,793.04