Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.14 / $879.14 / $14,482.00	Facility		$431.14	$879.14	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.36 / $439.67 / $1,419.59	Professional		$406.36	$439.67	$1,419.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $8,456.00	Facility		$2,740.00	$4,780.00	$8,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.35 / $1,111.20 / $2,902.81	Professional		$417.35	$1,111.20	$2,902.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,107.48 / $1,294.17 / $2,087.46	Facility		$1,107.48	$1,294.17	$2,087.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.17 / $1,334.52 / $1,773.84	Professional		$582.17	$1,334.52	$1,773.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $390.73 / $504.43 / $840.07	Facility		$390.73	$504.43	$840.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $429.80 / $4,240.00 / $11,598.00	Facility		$429.80	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $491.99 / $1,137.61 / $2,861.04	Professional		$491.99	$1,137.61	$2,861.04
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 $390.73 / $504.43 / $840.07	Facility		$390.73	$504.43	$840.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $835.90 / $1,290.76 / $1,723.11	Professional		$835.90	$1,290.76	$1,723.11
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 $594.70 / $2,068.40 / $3,183.68	Professional		$594.70	$2,068.40	$3,183.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,174.48 / $2,174.48 / $2,174.48	Professional		$2,174.48	$2,174.48	$2,174.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,027.13 / $2,523.38 / $2,523.38	Professional		$2,027.13	$2,523.38	$2,523.38
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 $482.58 / $1,216.74 / $2,055.00	Professional		$482.58	$1,216.74	$2,055.00