Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.67 / $718.16 / $14,482.00	Facility		$354.67	$718.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.77 / $365.43 / $1,183.57	Professional		$331.77	$365.43	$1,183.57
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 $349.70 / $898.66 / $2,399.80	Professional		$349.70	$898.66	$2,399.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $898.42 / $1,049.86 / $1,693.40	Facility		$898.42	$1,049.86	$1,693.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.08 / $1,091.17 / $1,437.40	Professional		$514.08	$1,091.17	$1,437.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $319.18 / $414.96 / $686.24	Facility		$319.18	$414.96	$686.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $351.10 / $4,103.00 / $8,783.00	Facility		$351.10	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $415.21 / $954.64 / $2,399.61	Professional		$415.21	$954.64	$2,399.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $478.32 / $862.07	Professional		$85.00	$478.32	$862.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $319.18 / $414.96 / $686.24	Facility		$319.18	$414.96	$686.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $685.10 / $1,057.90 / $1,445.20	Professional		$685.10	$1,057.90	$1,445.20
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 $486.26 / $1,735.70 / $2,618.64	Professional		$486.26	$1,735.70	$2,618.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,797.70 / $1,797.70 / $1,797.70	Professional		$1,797.70	$1,797.70	$1,797.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,690.09 / $2,063.26 / $2,063.26	Professional		$1,690.09	$2,063.26	$2,063.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,611.00 / $9,134.00	Facility		$4,918.00	$7,611.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $415.21 / $1,062.00 / $1,674.49	Professional		$415.21	$1,062.00	$1,674.49