Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.02 / $882.92 / $1,894.00	Facility		$351.02	$882.92	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.02 / $432.37 / $1,417.15	Professional		$351.02	$432.37	$1,417.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.46 / $1,038.72 / $2,685.64	Professional		$433.46	$1,038.72	$2,685.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,111.98 / $1,299.44 / $2,095.94	Facility		$1,111.98	$1,299.44	$2,095.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.03 / $1,080.74 / $1,622.78	Professional		$536.03	$1,080.74	$1,622.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $273.56 / $432.37 / $691.85	Facility		$273.56	$432.37	$691.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $328.49 / $679.96 / $8,384.00	Facility		$328.49	$679.96	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $493.19 / $1,479.16 / $2,865.75	Professional		$493.19	$1,479.16	$2,865.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $577.19 / $1,237.76	Professional		$85.00	$577.19	$1,237.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $273.56 / $432.37 / $691.85	Facility		$273.56	$432.37	$691.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $768.63 / $1,102.33 / $1,526.35	Professional		$768.63	$1,102.33	$1,526.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,837.38 / $2,837.38 / $2,837.38	Facility		$2,837.38	$2,837.38	$2,837.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $481.61 / $1,798.56 / $6,131.15	Professional		$481.61	$1,798.56	$6,131.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,776.73 / $1,776.73 / $2,188.14	Professional		$1,776.73	$1,776.73	$2,188.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,921.29 / $2,043.53 / $2,526.92	Professional		$1,921.29	$2,043.53	$2,526.92
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 $453.11 / $1,270.64 / $2,060.92	Professional		$453.11	$1,270.64	$2,060.92