Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.77 / $720.43 / $14,482.00	Facility		$375.77	$720.43	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.74 / $375.77 / $1,158.05	Professional		$350.74	$375.77	$1,158.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.27 / $868.36 / $2,027.64	Professional		$339.27	$868.36	$2,027.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.33 / $1,061.45 / $1,712.09	Facility		$908.33	$1,061.45	$1,712.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.39 / $1,093.18 / $1,454.58	Professional		$498.39	$1,093.18	$1,454.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $352.21 / $474.98 / $1,805.50	Facility		$352.21	$474.98	$1,805.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $375.77 / $4,103.00 / $8,783.00	Facility		$375.77	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $397.93 / $829.00 / $1,831.49	Professional		$397.93	$829.00	$1,831.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $347.85 / $796.32	Professional		$67.92	$347.85	$796.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $375.77 / $502.05 / $1,805.50	Facility		$375.77	$502.05	$1,805.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $685.10 / $1,057.90 / $1,246.14	Professional		$685.10	$1,057.90	$1,246.14
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 $487.16 / $3,122.25 / $5,174.55	Professional		$487.16	$3,122.25	$5,174.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $950.02 / $950.02 / $950.02	Professional		$950.02	$950.02	$950.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,007.96 / $1,692.49 / $1,692.49	Professional		$1,007.96	$1,692.49	$1,692.49
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 $393.67 / $1,033.76 / $1,723.41	Professional		$393.67	$1,033.76	$1,723.41