Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.07 / $858.76 / $14,482.00	Facility		$448.07	$858.76	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.41 / $448.07 / $1,394.42	Professional		$423.41	$448.07	$1,394.42
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 $408.97 / $1,087.20 / $2,356.92	Professional		$408.97	$1,087.20	$2,356.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,083.15 / $1,265.74 / $2,041.60	Facility		$1,083.15	$1,265.74	$2,041.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $568.69 / $1,303.69 / $1,733.75	Professional		$568.69	$1,303.69	$1,733.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $409.50 / $524.24 / $820.59	Facility		$409.50	$524.24	$820.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.30 / $4,240.00 / $11,598.00	Facility		$426.30	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $481.48 / $996.30 / $2,204.87	Professional		$481.48	$996.30	$2,204.87
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 $409.50 / $524.24 / $820.59	Facility		$409.50	$524.24	$820.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $816.40 / $1,260.65 / $1,484.97	Professional		$816.40	$1,260.65	$1,484.97
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 $580.96 / $2,024.80 / $3,439.00	Professional		$580.96	$2,024.80	$3,439.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,131.70 / $1,131.70 / $1,131.70	Professional		$1,131.70	$1,131.70	$1,131.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,201.50 / $2,018.34 / $2,018.34	Professional		$1,201.50	$2,018.34	$2,018.34
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $474.02 / $1,347.56 / $1,979.73	Professional		$474.02	$1,347.56	$1,979.73