Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.27 / $1,004.38 / $14,482.00	Facility		$492.27	$1,004.38	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.54 / $503.24 / $1,624.54	Professional		$463.54	$503.24	$1,624.54
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 $477.72 / $1,267.41 / $3,318.45	Professional		$477.72	$1,267.41	$3,318.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,264.27 / $1,477.40 / $2,383.00	Facility		$1,264.27	$1,477.40	$2,383.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.13 / $1,524.63 / $2,024.38	Professional		$665.13	$1,524.63	$2,024.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $491.03 / $650.65 / $981.57	Facility		$491.03	$650.65	$981.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $492.27 / $4,103.00 / $8,783.00	Facility		$492.27	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $561.66 / $1,303.47 / $3,272.60	Professional		$561.66	$1,303.47	$3,272.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $440.23 / $1,043.52	Professional		$57.73	$440.23	$1,043.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $491.03 / $668.81 / $981.57	Facility		$491.03	$668.81	$981.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $956.15 / $1,476.44 / $1,970.97	Professional		$956.15	$1,476.44	$1,970.97
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 $679.42 / $2,369.94 / $4,505.85	Professional		$679.42	$2,369.94	$4,505.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,485.86 / $2,485.86 / $2,485.86	Professional		$2,485.86	$2,485.86	$2,485.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,319.77 / $2,882.86 / $2,882.86	Professional		$2,319.77	$2,882.86	$2,882.86
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 $558.77 / $1,574.09 / $2,346.42	Professional		$558.77	$1,574.09	$2,346.42