Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.79 / $871.18 / $14,482.00	Facility		$426.79	$871.18	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.48 / $449.17 / $1,405.47	Professional		$402.48	$449.17	$1,405.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $3,163.00 / $5,768.00	Facility		$1,314.00	$3,163.00	$5,768.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.06 / $1,096.64 / $2,873.08	Professional		$413.06	$1,096.64	$2,873.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,098.47 / $1,283.64 / $2,070.46	Facility		$1,098.47	$1,283.64	$2,070.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.91 / $1,322.34 / $1,766.77	Professional		$576.91	$1,322.34	$1,766.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $387.19 / $499.34 / $832.46	Facility		$387.19	$499.34	$832.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $425.91 / $1,706.67 / $8,384.00	Facility		$425.91	$1,706.67	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $487.02 / $1,126.46 / $2,829.30	Professional		$487.02	$1,126.46	$2,829.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $411.70 / $941.20	Professional		$67.92	$411.70	$941.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $387.19 / $499.34 / $832.46	Facility		$387.19	$499.34	$832.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $828.10 / $1,278.71 / $1,703.99	Professional		$828.10	$1,278.71	$1,703.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,979.24 / $1,979.24 / $1,979.24	Facility		$1,979.24	$1,979.24	$1,979.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $589.28 / $2,048.10 / $3,301.51	Professional		$589.28	$2,048.10	$3,301.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,152.23 / $2,152.23 / $2,152.23	Professional		$2,152.23	$2,152.23	$2,152.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,006.98 / $2,500.44 / $2,500.44	Professional		$2,006.98	$2,500.44	$2,500.44
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $481.60 / $1,361.03 / $2,034.26	Professional		$481.60	$1,361.03	$2,034.26