Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.80 / $951.37 / $1,894.00	Facility		$460.80	$951.37	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.04 / $492.50 / $1,512.85	Professional		$431.04	$492.50	$1,512.85
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 $513.55 / $1,233.28 / $2,562.01	Professional		$513.55	$1,233.28	$2,562.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,204.80 / $1,407.90 / $2,270.89	Facility		$1,204.80	$1,407.90	$2,270.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.02 / $1,342.74 / $1,796.98	Professional		$630.02	$1,342.74	$1,796.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $432.77 / $579.85 / $855.26	Facility		$432.77	$579.85	$855.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $455.30 / $755.13 / $8,384.00	Facility		$455.30	$755.13	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $523.47 / $1,467.30 / $3,200.48	Professional		$523.47	$1,467.30	$3,200.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $370.81 / $1,036.75	Professional		$58.40	$370.81	$1,036.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $432.77 / $541.22 / $855.26	Facility		$432.77	$541.22	$855.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $943.63 / $1,325.31 / $1,577.35	Professional		$943.63	$1,325.31	$1,577.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,009.24 / $2,009.24 / $2,009.24	Facility		$2,009.24	$2,009.24	$2,009.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $598.36 / $2,070.60 / $3,962.57	Professional		$598.36	$2,070.60	$3,962.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,165.13 / $1,165.13 / $1,252.76	Professional		$1,165.13	$1,165.13	$1,252.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,322.38 / $2,078.81 / $2,237.15	Professional		$1,322.38	$2,078.81	$2,237.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,193.00 / $6,477.00 / $8,384.00	Facility		$3,193.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $482.06 / $1,298.26 / $2,096.75	Professional		$482.06	$1,298.26	$2,096.75