Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.76 / $945.61 / $14,482.00	Facility		$463.76	$945.61	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.78 / $473.27 / $1,527.57	Professional		$436.78	$473.27	$1,527.57
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 $449.96 / $1,195.18 / $3,125.86	Professional		$449.96	$1,195.18	$3,125.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,192.18 / $1,393.16 / $2,247.12	Facility		$1,192.18	$1,393.16	$2,247.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.20 / $1,436.52 / $1,906.99	Professional		$626.20	$1,436.52	$1,906.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $420.27 / $542.60 / $903.58	Facility		$420.27	$542.60	$903.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $462.30 / $4,103.00 / $8,783.00	Facility		$462.30	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $528.02 / $1,227.71 / $3,084.63	Professional		$528.02	$1,227.71	$3,084.63
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 $420.27 / $542.60 / $903.58	Facility		$420.27	$542.60	$903.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $898.95 / $1,388.12 / $1,857.77	Professional		$898.95	$1,388.12	$1,857.77
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 $640.16 / $2,232.19 / $3,428.88	Professional		$640.16	$2,232.19	$3,428.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,341.63 / $2,341.63 / $2,341.63	Professional		$2,341.63	$2,341.63	$2,341.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,181.31 / $2,716.33 / $2,716.33	Professional		$2,181.31	$2,716.33	$2,716.33
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $528.02 / $1,260.43 / $2,210.52	Professional		$528.02	$1,260.43	$2,210.52