Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.82 / $847.58 / $14,482.00	Facility		$442.82	$847.58	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.54 / $442.82 / $1,356.08	Professional		$411.54	$442.82	$1,356.08
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 $399.51 / $1,009.72 / $2,313.08	Professional		$399.51	$1,009.72	$2,313.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,069.63 / $1,249.95 / $2,016.12	Facility		$1,069.63	$1,249.95	$2,016.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.28 / $1,287.64 / $1,710.85	Professional		$561.28	$1,287.64	$1,710.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $414.37 / $559.30 / $818.21	Facility		$414.37	$559.30	$818.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $442.82 / $4,103.00 / $8,783.00	Facility		$442.82	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $469.22 / $973.11 / $2,144.83	Professional		$469.22	$973.11	$2,144.83
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 $442.82 / $562.58 / $818.21	Facility		$442.82	$562.58	$818.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $806.00 / $1,244.58 / $1,466.05	Professional		$806.00	$1,244.58	$1,466.05
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 $573.80 / $1,986.20 / $3,341.83	Professional		$573.80	$1,986.20	$3,341.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,119.18 / $1,119.18 / $1,119.18	Professional		$1,119.18	$1,119.18	$1,119.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,268.01 / $1,993.50 / $1,993.50	Professional		$1,268.01	$1,993.50	$1,993.50
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 $460.99 / $1,164.73 / $1,881.22	Professional		$460.99	$1,164.73	$1,881.22