Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.83 / $722.70 / $14,482.00	Facility		$356.83	$722.70	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.79 / $367.24 / $1,191.98	Professional		$333.79	$367.24	$1,191.98
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 $351.61 / $882.71 / $2,414.52	Professional		$351.61	$882.71	$2,414.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.92 / $1,055.14 / $1,701.90	Facility		$902.92	$1,055.14	$1,701.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.08 / $1,096.69 / $1,445.99	Professional		$514.08	$1,096.69	$1,445.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $314.00 / $385.44 / $690.58	Facility		$314.00	$385.44	$690.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $333.56 / $1,957.00 / $4,793.00	Facility		$333.56	$1,957.00	$4,793.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $417.34 / $959.53 / $2,411.78	Professional		$417.34	$959.53	$2,411.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $480.73 / $862.07	Professional		$85.00	$480.73	$862.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $314.00 / $385.44 / $690.58	Facility		$314.00	$385.44	$690.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $689.65 / $1,064.93 / $1,452.53	Professional		$689.65	$1,064.93	$1,452.53
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 $488.72 / $1,744.60 / $2,631.76	Professional		$488.72	$1,744.60	$2,631.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,808.74 / $1,808.74 / $1,808.74	Professional		$1,808.74	$1,808.74	$1,808.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,702.12 / $2,073.67 / $2,073.67	Professional		$1,702.12	$2,073.67	$2,073.67
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 $410.11 / $1,025.08 / $1,700.83	Professional		$410.11	$1,025.08	$1,700.83