Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.21 / $973.73 / $14,482.00	Facility		$477.21	$973.73	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.15 / $485.46 / $1,569.76	Professional		$450.15	$485.46	$1,569.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $459.40 / $1,228.29 / $3,213.82	Professional		$459.40	$1,228.29	$3,213.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,229.13 / $1,436.33 / $2,316.75	Facility		$1,229.13	$1,436.33	$2,316.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $644.82 / $1,479.52 / $1,965.68	Professional		$644.82	$1,479.52	$1,965.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $476.05 / $632.25 / $1,303.09	Facility		$476.05	$632.25	$1,303.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $477.21 / $4,103.00 / $8,783.00	Facility		$477.21	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $534.39 / $1,256.60 / $3,158.58	Professional		$534.39	$1,256.60	$3,158.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $374.20 / $1,043.14	Professional		$53.80	$374.20	$1,043.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $476.05 / $643.16 / $1,303.09	Facility		$476.05	$643.16	$1,303.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $924.95 / $1,428.27 / $1,902.29	Professional		$924.95	$1,428.27	$1,902.29
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 $659.33 / $2,284.75 / $8,295.00	Professional		$659.33	$2,284.75	$8,295.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,407.48 / $2,407.48 / $2,407.48	Professional		$2,407.48	$2,407.48	$2,407.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,241.56 / $2,797.63 / $2,797.63	Professional		$2,241.56	$2,797.63	$2,797.63
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $499.26 / $1,265.44 / $2,274.61	Professional		$499.26	$1,265.44	$2,274.61