Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.38 / $738.68 / $14,482.00	Facility		$384.38	$738.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.68 / $384.38 / $1,307.70	Professional		$364.68	$384.38	$1,307.70
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 $347.84 / $932.84 / $2,027.09	Professional		$347.84	$932.84	$2,027.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $931.76 / $1,088.83 / $1,756.25	Facility		$931.76	$1,088.83	$1,756.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.17 / $1,120.43 / $1,493.23	Professional		$489.17	$1,120.43	$1,493.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $346.50 / $449.72 / $1,088.50	Facility		$346.50	$449.72	$1,088.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $361.13 / $1,088.50 / $8,384.00	Facility		$361.13	$1,088.50	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $409.91 / $847.23 / $1,871.39	Professional		$409.91	$847.23	$1,871.39
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 $346.50 / $449.72 / $1,088.50	Facility		$346.50	$449.72	$1,088.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $702.00 / $1,084.00 / $1,276.88	Professional		$702.00	$1,084.00	$1,276.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,444.45 / $5,444.45 / $5,444.45	Facility		$5,444.45	$5,444.45	$5,444.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $499.30 / $1,725.20 / $2,669.44	Professional		$499.30	$1,725.20	$2,669.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $971.04 / $971.04 / $971.04	Professional		$971.04	$971.04	$971.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $510.65 / $1,734.64 / $1,734.64	Professional		$510.65	$1,734.64	$1,734.64
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 $405.69 / $959.06 / $1,641.39	Professional		$405.69	$959.06	$1,641.39