Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.13 / $850.70 / $14,482.00	Facility		$456.13	$850.70	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.29 / $456.13 / $1,219.26	Professional		$394.29	$456.13	$1,219.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $11,418.00	Facility		$1,979.00	$6,787.00	$11,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.62 / $935.66 / $2,405.38	Professional		$405.62	$935.66	$2,405.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,067.83 / $1,247.83 / $1,914.22	Facility		$1,067.83	$1,247.83	$1,914.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.85 / $1,426.76 / $1,699.38	Professional		$514.85	$1,426.76	$1,699.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $376.64 / $487.67 / $830.07	Facility		$376.64	$487.67	$830.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $387.71 / $567.87 / $4,292.39	Facility		$387.71	$567.87	$4,292.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.72 / $1,016.97 / $3,122.40	Professional		$446.72	$1,016.97	$3,122.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $537.08 / $962.53	Professional		$67.92	$537.08	$962.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $378.09 / $494.52 / $830.07	Facility		$378.09	$494.52	$830.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $783.00 / $1,044.26 / $1,719.17	Professional		$783.00	$1,044.26	$1,719.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $490.64 / $3,989.12 / $3,989.12	Facility		$490.64	$3,989.12	$3,989.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $726.90 / $2,027.40 / $3,122.40	Professional		$726.90	$2,027.40	$3,122.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,516.72 / $1,516.72 / $1,516.72	Professional		$1,516.72	$1,516.72	$1,516.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,406.00 / $2,074.96 / $2,074.96	Professional		$1,406.00	$2,074.96	$2,074.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.08 / $885.32 / $1,836.82	Professional		$434.08	$885.32	$1,836.82