Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.49 / $905.85 / $14,482.00	Facility		$227.49	$905.85	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.86 / $735.88 / $1,105.31	Professional		$198.86	$735.88	$1,105.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.38 / $1,106.64 / $4,324.24	Professional		$301.38	$1,106.64	$4,324.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,129.35 / $2,488.31 / $3,817.13	Facility		$2,129.35	$2,488.31	$3,817.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.77 / $842.54 / $3,134.00	Professional		$317.77	$842.54	$3,134.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $203.18 / $696.39 / $1,360.72	Facility		$203.18	$696.39	$1,360.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $206.87 / $770.46 / $3,242.00	Facility		$206.87	$770.46	$3,242.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $987.70 / $2,902.31 / $5,779.92	Professional		$987.70	$2,902.31	$5,779.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $658.21 / $1,600.87	Professional		$66.31	$658.21	$1,600.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $203.18 / $696.39 / $1,347.22	Facility		$203.18	$696.39	$1,347.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $457.79 / $955.94 / $2,578.94	Professional		$457.79	$955.94	$2,578.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $348.15 / $1,389.42 / $1,389.42	Facility		$348.15	$1,389.42	$1,389.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $394.57 / $2,902.31 / $5,779.92	Professional		$394.57	$2,902.31	$5,779.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $752.27 / $752.27 / $3,079.91	Professional		$752.27	$752.27	$3,079.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $801.69 / $2,739.40 / $3,992.13	Professional		$801.69	$2,739.40	$3,992.13
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 $913.83 / $1,992.89 / $3,899.79	Professional		$913.83	$1,992.89	$3,899.79