Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.26 / $952.74 / $14,482.00	Facility		$470.26	$952.74	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.11 / $483.27 / $1,571.84	Professional		$440.11	$483.27	$1,571.84
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 $464.15 / $1,191.55 / $3,185.72	Professional		$464.15	$1,191.55	$3,185.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,191.28 / $1,392.11 / $2,245.42	Facility		$1,191.28	$1,392.11	$2,245.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.92 / $1,447.77 / $1,905.55	Professional		$630.92	$1,447.77	$1,905.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $376.80 / $508.13 / $910.40	Facility		$376.80	$508.13	$910.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $440.11 / $2,781.00 / $6,312.00	Facility		$440.11	$2,781.00	$6,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $550.91 / $1,266.32 / $3,183.13	Professional		$550.91	$1,266.32	$3,183.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $635.16 / $1,108.89	Professional		$85.00	$635.16	$1,108.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $376.80 / $508.13 / $910.40	Facility		$376.80	$508.13	$910.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $910.00 / $1,405.18 / $1,917.09	Professional		$910.00	$1,405.18	$1,917.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,302.50 / $14,302.50 / $14,302.50	Facility		$14,302.50	$14,302.50	$14,302.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $645.16 / $2,302.40 / $3,476.56	Professional		$645.16	$2,302.40	$3,476.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,386.42 / $2,386.42 / $2,386.42	Professional		$2,386.42	$2,386.42	$2,386.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,244.56 / $2,737.54 / $2,737.54	Professional		$2,244.56	$2,737.54	$2,737.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.91 / $1,409.58 / $2,241.51	Professional		$550.91	$1,409.58	$2,241.51