Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.92 / $787.37 / $3,119.00	Facility		$299.92	$787.37	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.99 / $419.13 / $1,027.16	Professional		$284.99	$419.13	$1,027.16
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 $414.42 / $879.75 / $2,018.02	Professional		$414.42	$879.75	$2,018.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,019.17 / $1,190.98 / $1,921.00	Facility		$1,019.17	$1,190.98	$1,921.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.70 / $873.91 / $1,376.75	Professional		$445.70	$873.91	$1,376.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $281.77 / $419.13 / $634.05	Facility		$281.77	$419.13	$634.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.77 / $559.86 / $8,384.00	Facility		$281.77	$559.86	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $477.17 / $1,397.40 / $2,311.79	Professional		$477.17	$1,397.40	$2,311.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.91 / $320.00 / $853.36	Professional		$37.91	$320.00	$853.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $256.14 / $419.13 / $634.05	Facility		$256.14	$419.13	$634.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $618.84 / $894.84 / $1,354.92	Professional		$618.84	$894.84	$1,354.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,307.32 / $1,307.32 / $1,307.32	Facility		$1,307.32	$1,307.32	$1,307.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $389.44 / $1,630.58 / $3,393.85	Professional		$389.44	$1,630.58	$3,393.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $758.04 / $758.04 / $1,070.96	Professional		$758.04	$758.04	$1,070.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,072.65 / $1,352.96 / $1,875.73	Professional		$1,072.65	$1,352.96	$1,875.73
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 $470.56 / $1,258.55 / $1,922.31	Professional		$470.56	$1,258.55	$1,922.31