Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.67 / $990.14 / $14,482.00	Facility		$488.67	$990.14	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.15 / $502.01 / $1,632.10	Professional		$457.15	$502.01	$1,632.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $6,787.00 / $10,517.23	Facility		$1,183.00	$6,787.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.47 / $1,208.53 / $3,308.80	Professional		$482.47	$1,208.53	$3,308.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,237.24 / $1,445.81 / $2,332.04	Facility		$1,237.24	$1,445.81	$2,332.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.69 / $1,504.64 / $1,981.43	Professional		$655.69	$1,504.64	$1,981.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $440.06 / $571.74 / $961.91	Facility		$440.06	$571.74	$961.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $484.07 / $1,957.00 / $4,793.00	Facility		$484.07	$1,957.00	$4,793.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $572.57 / $1,315.96 / $3,308.23	Professional		$572.57	$1,315.96	$3,308.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $659.70 / $1,187.03	Professional		$85.00	$659.70	$1,187.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $440.06 / $571.74 / $961.91	Facility		$440.06	$571.74	$961.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $945.10 / $1,459.38 / $1,992.43	Professional		$945.10	$1,459.38	$1,992.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $9,388.90 / $9,388.90	Facility		$9,388.90	$9,388.90	$9,388.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $670.52 / $2,392.65 / $3,613.44	Professional		$670.52	$2,392.65	$3,613.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,478.65 / $2,478.65 / $2,478.65	Professional		$2,478.65	$2,478.65	$2,478.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,330.59 / $2,845.13 / $2,845.13	Professional		$2,330.59	$2,845.13	$2,845.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $527.41 / $1,465.21 / $2,308.28	Professional		$527.41	$1,465.21	$2,308.28