Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.52 / $868.79 / $1,894.00	Facility		$344.52	$868.79	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.52 / $425.18 / $1,397.42	Professional		$344.52	$425.18	$1,397.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $15,055.00 / $22,609.00	Facility		$5,692.00	$15,055.00	$22,609.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.03 / $1,022.78 / $2,634.65	Professional		$427.03	$1,022.78	$2,634.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,093.06 / $1,277.33 / $2,060.28	Facility		$1,093.06	$1,277.33	$2,060.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.04 / $1,060.21 / $1,492.83	Professional		$551.04	$1,060.21	$1,492.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $344.52 / $471.00 / $756.00	Facility		$344.52	$471.00	$756.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $372.35 / $678.82 / $8,384.00	Facility		$372.35	$678.82	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $485.02 / $1,407.68 / $2,825.81	Professional		$485.02	$1,407.68	$2,825.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $563.12 / $1,214.24	Professional		$85.00	$563.12	$1,214.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $344.52 / $471.00 / $756.00	Facility		$344.52	$471.00	$756.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $755.05 / $1,081.75 / $1,501.52	Professional		$755.05	$1,081.75	$1,501.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,180.56 / $3,180.56 / $3,180.56	Facility		$3,180.56	$3,180.56	$3,180.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $472.46 / $1,768.05 / $5,914.45	Professional		$472.46	$1,768.05	$5,914.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,744.78 / $1,744.78 / $2,149.09	Professional		$1,744.78	$1,744.78	$2,149.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,895.89 / $2,004.71 / $2,484.05	Professional		$1,895.89	$2,004.71	$2,484.05
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $478.56 / $1,368.37 / $2,026.64	Professional		$478.56	$1,368.37	$2,026.64