Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.19 / $812.18 / $14,482.00	Facility		$398.19	$812.18	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.27 / $406.38 / $1,312.95	Professional		$375.27	$406.38	$1,312.95
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 $385.78 / $1,027.52 / $2,678.69	Professional		$385.78	$1,027.52	$2,678.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,022.77 / $1,195.19 / $1,927.80	Facility		$1,022.77	$1,195.19	$1,927.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.85 / $1,232.09 / $1,637.83	Professional		$537.85	$1,232.09	$1,637.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $360.97 / $433.16 / $776.09	Facility		$360.97	$433.16	$776.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $397.07 / $4,103.00 / $8,783.00	Facility		$397.07	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $455.03 / $1,207.67 / $2,642.91	Professional		$455.03	$1,207.67	$2,642.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $401.90 / $920.98	Professional		$67.92	$401.90	$920.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $360.97 / $433.16 / $776.09	Facility		$360.97	$433.16	$776.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $772.85 / $1,193.40 / $1,591.73	Professional		$772.85	$1,193.40	$1,591.73
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 $549.05 / $1,912.80 / $4,691.53	Professional		$549.05	$1,912.80	$4,691.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,006.65 / $2,006.65 / $2,006.65	Professional		$2,006.65	$2,006.65	$2,006.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,874.85 / $2,329.73 / $2,329.73	Professional		$1,874.85	$2,329.73	$2,329.73
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.33 / $1,171.58 / $1,909.17	Professional		$446.33	$1,171.58	$1,909.17