Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.98 / $933.84 / $14,482.00	Facility		$457.98	$933.84	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.39 / $470.72 / $1,520.05	Professional		$431.39	$470.72	$1,520.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.01 / $1,177.74 / $3,083.45	Professional		$444.01	$1,177.74	$3,083.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,175.96 / $1,374.20 / $2,216.54	Facility		$1,175.96	$1,374.20	$2,216.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $618.41 / $1,417.47 / $1,882.65	Professional		$618.41	$1,417.47	$1,882.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $456.54 / $605.76 / $911.18	Facility		$456.54	$605.76	$911.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.98 / $4,240.00 / $11,598.00	Facility		$457.98	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $521.66 / $1,211.71 / $3,040.79	Professional		$521.66	$1,211.71	$3,040.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $444.05 / $1,017.22	Professional		$67.92	$444.05	$1,017.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $456.54 / $621.61 / $914.59	Facility		$456.54	$621.61	$914.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $887.90 / $1,371.05 / $1,831.35	Professional		$887.90	$1,371.05	$1,831.35
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 $631.66 / $2,203.10 / $4,505.85	Professional		$631.66	$2,203.10	$4,505.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,309.84 / $2,309.84 / $2,309.84	Professional		$2,309.84	$2,309.84	$2,309.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,702.16 / $2,680.27 / $2,680.27	Professional		$1,702.16	$2,680.27	$2,680.27
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,882.00 / $12,631.00	Facility		$6,241.00	$9,882.00	$12,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $470.25 / $1,244.83 / $2,182.98	Professional		$470.25	$1,244.83	$2,182.98