Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.24 / $1,455.47 / $14,482.00	Facility		$436.24	$1,455.47	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.58 / $436.24 / $1,174.44	Professional		$362.58	$436.24	$1,174.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,139.00 / $10,914.00	Facility		$5,169.00	$8,139.00	$10,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.26 / $894.85 / $2,293.69	Professional		$383.26	$894.85	$2,293.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.47 / $1,198.34 / $1,838.30	Facility		$1,025.47	$1,198.34	$1,838.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.42 / $1,355.19 / $1,628.06	Professional		$482.42	$1,355.19	$1,628.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $394.13 / $510.40 / $941.60	Facility		$394.13	$510.40	$941.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $394.13 / $578.40 / $9,558.29	Facility		$394.13	$578.40	$9,558.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $423.16 / $920.07 / $4,720.07	Professional		$423.16	$920.07	$4,720.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $528.40 / $927.29	Professional		$67.92	$528.40	$927.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $383.30 / $510.40 / $941.60	Facility		$383.30	$510.40	$941.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $748.80 / $998.65 / $1,647.03	Professional		$748.80	$998.65	$1,647.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $466.44 / $9,558.29 / $9,558.29	Facility		$466.44	$9,558.29	$9,558.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $679.75 / $1,923.45 / $4,720.07	Professional		$679.75	$1,923.45	$4,720.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,446.01 / $1,446.01 / $1,446.01	Professional		$1,446.01	$1,446.01	$1,446.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,344.10 / $1,987.88 / $1,987.88	Professional		$1,344.10	$1,987.88	$1,987.88
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,953.00 / $12,062.00	Facility		$6,241.00	$9,953.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.37 / $739.50 / $1,735.91	Professional		$392.37	$739.50	$1,735.91