Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.66 / $940.01 / $14,482.00	Facility		$463.66	$940.01	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.15 / $476.64 / $1,549.81	Professional		$434.15	$476.64	$1,549.81
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 $457.96 / $1,147.14 / $3,139.93	Professional		$457.96	$1,147.14	$3,139.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,175.06 / $1,373.15 / $2,214.84	Facility		$1,175.06	$1,373.15	$2,214.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $622.50 / $1,427.60 / $1,879.78	Professional		$622.50	$1,427.60	$1,879.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $417.78 / $501.34 / $898.23	Facility		$417.78	$501.34	$898.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $459.56 / $2,781.00 / $6,312.00	Facility		$459.56	$2,781.00	$6,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $543.32 / $1,248.72 / $3,137.58	Professional		$543.32	$1,248.72	$3,137.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $625.61 / $1,108.89	Professional		$85.00	$625.61	$1,108.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $417.78 / $501.34 / $898.23	Facility		$417.78	$501.34	$898.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $897.65 / $1,386.11 / $1,889.66	Professional		$897.65	$1,386.11	$1,889.66
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 $636.19 / $2,270.40 / $3,428.32	Professional		$636.19	$2,270.40	$3,428.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,352.14 / $2,352.14 / $2,352.14	Professional		$2,352.14	$2,352.14	$2,352.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,213.10 / $2,699.42 / $2,699.42	Professional		$2,213.10	$2,699.42	$2,699.42
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 $540.78 / $1,335.14 / $2,210.00	Professional		$540.78	$1,335.14	$2,210.00