Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.30 / $821.86 / $14,482.00	Facility		$402.30	$821.86	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.39 / $410.16 / $1,375.57	Professional		$379.39	$410.16	$1,375.57
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 $388.83 / $1,067.90 / $2,706.53	Professional		$388.83	$1,067.90	$2,706.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,035.39 / $1,209.93 / $1,951.58	Facility		$1,035.39	$1,209.93	$1,951.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.25 / $1,245.81 / $1,659.31	Professional		$544.25	$1,245.81	$1,659.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $401.80 / $533.10 / $797.06	Facility		$401.80	$533.10	$797.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $402.30 / $4,103.00 / $8,783.00	Facility		$402.30	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $458.94 / $1,061.31 / $2,663.77	Professional		$458.94	$1,061.31	$2,663.77
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 $401.80 / $544.36 / $805.86	Facility		$401.80	$544.36	$805.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $781.95 / $1,207.45 / $1,604.30	Professional		$781.95	$1,207.45	$1,604.30
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 $555.16 / $1,929.65 / $4,956.60	Professional		$555.16	$1,929.65	$4,956.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,027.50 / $2,027.50 / $2,027.50	Professional		$2,027.50	$2,027.50	$2,027.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,957.28 / $2,355.63 / $2,355.63	Professional		$1,957.28	$2,355.63	$2,355.63
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 $389.44 / $1,133.58 / $1,917.56	Professional		$389.44	$1,133.58	$1,917.56