Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.99 / $747.90 / $14,482.00	Facility		$368.99	$747.90	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.20 / $379.93 / $1,231.90	Professional		$345.20	$379.93	$1,231.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.85 / $913.41 / $2,498.15	Professional		$363.85	$913.41	$2,498.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $934.46 / $1,091.99 / $1,761.34	Facility		$934.46	$1,091.99	$1,761.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.08 / $1,135.57 / $1,496.10	Professional		$514.08	$1,135.57	$1,496.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $282.60 / $398.88 / $714.66	Facility		$282.60	$398.88	$714.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $345.20 / $1,957.00 / $4,793.00	Facility		$345.20	$1,957.00	$4,793.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $431.68 / $992.53 / $2,496.26	Professional		$431.68	$992.53	$2,496.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $497.74 / $862.07	Professional		$85.00	$497.74	$862.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $282.60 / $398.88 / $714.66	Facility		$282.60	$398.88	$714.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $713.70 / $1,102.06 / $1,503.40	Professional		$713.70	$1,102.06	$1,503.40
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 $506.04 / $1,804.60 / $2,725.60	Professional		$506.04	$1,804.60	$2,725.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,871.35 / $1,871.35 / $1,871.35	Professional		$1,871.35	$1,871.35	$1,871.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,759.10 / $2,147.19 / $2,147.19	Professional		$1,759.10	$2,147.19	$2,147.19
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 $431.68 / $1,213.30 / $1,801.17	Professional		$431.68	$1,213.30	$1,801.17