Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.90 / $748.37 / $14,482.00	Facility		$389.90	$748.37	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.22 / $389.90 / $1,202.49	Professional		$365.22	$389.90	$1,202.49
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 $352.75 / $941.41 / $2,027.80	Professional		$352.75	$941.41	$2,027.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.47 / $1,102.52 / $1,778.33	Facility		$943.47	$1,102.52	$1,778.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.59 / $1,134.86 / $1,511.84	Professional		$495.59	$1,134.86	$1,511.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $365.87 / $456.18 / $715.11	Facility		$365.87	$456.18	$715.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.90 / $5,496.00 / $8,783.00	Facility		$389.90	$5,496.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $395.35 / $806.94 / $1,788.29	Professional		$395.35	$806.94	$1,788.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $339.92 / $819.66	Professional		$57.73	$339.92	$819.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $365.87 / $456.18 / $715.11	Facility		$365.87	$456.18	$715.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $711.75 / $1,099.05 / $1,294.61	Professional		$711.75	$1,099.05	$1,294.61
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 $505.74 / $1,749.65 / $2,703.68	Professional		$505.74	$1,749.65	$2,703.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $983.88 / $983.88 / $983.88	Professional		$983.88	$983.88	$983.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.06 / $1,757.01 / $1,757.01	Professional		$1,047.06	$1,757.01	$1,757.01
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 $408.78 / $1,166.61 / $1,710.70	Professional		$408.78	$1,166.61	$1,710.70