Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.28 / $848.45 / $14,482.00	Facility		$415.28	$848.45	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.69 / $423.53 / $1,367.42	Professional		$391.69	$423.53	$1,367.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.67 / $1,070.10 / $2,793.26	Professional		$401.67	$1,070.10	$2,793.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,068.73 / $1,248.89 / $2,014.42	Facility		$1,068.73	$1,248.89	$2,014.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.86 / $1,286.83 / $1,712.28	Professional		$561.86	$1,286.83	$1,712.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $414.80 / $549.98 / $822.47	Facility		$414.80	$549.98	$822.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $415.28 / $2,781.00 / $6,312.00	Facility		$415.28	$2,781.00	$6,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $469.36 / $1,095.88 / $2,752.35	Professional		$469.36	$1,095.88	$2,752.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $391.91 / $963.34	Professional		$57.73	$391.91	$963.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $414.80 / $562.34 / $822.47	Facility		$414.80	$562.34	$822.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $806.65 / $1,245.58 / $1,657.64	Professional		$806.65	$1,245.58	$1,657.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,817.20 / $6,817.20 / $6,817.20	Facility		$6,817.20	$6,817.20	$6,817.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $573.46 / $1,992.50 / $6,221.00	Professional		$573.46	$1,992.50	$6,221.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,092.44 / $2,092.44 / $2,092.44	Professional		$2,092.44	$2,092.44	$2,092.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,952.63 / $2,433.27 / $2,433.27	Professional		$1,952.63	$2,433.27	$2,433.27
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 $464.84 / $1,323.93 / $1,979.43	Professional		$464.84	$1,323.93	$1,979.43