Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.85 / $930.87 / $14,482.00	Facility		$495.85	$930.87	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.64 / $495.85 / $1,481.12	Professional		$401.64	$495.85	$1,481.12
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 $430.37 / $1,186.45 / $2,455.23	Professional		$430.37	$1,186.45	$2,455.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,189.48 / $1,390.00 / $2,242.02	Facility		$1,189.48	$1,390.00	$2,242.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.65 / $1,351.83 / $1,884.08	Professional		$682.65	$1,351.83	$1,884.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $455.09 / $518.10 / $889.50	Facility		$455.09	$518.10	$889.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $495.85 / $4,103.00 / $8,384.00	Facility		$495.85	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $503.50 / $1,079.75 / $2,173.44	Professional		$503.50	$1,079.75	$2,173.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $369.55 / $972.14	Professional		$63.30	$369.55	$972.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $455.09 / $518.10 / $889.50	Facility		$455.09	$518.10	$889.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $897.65 / $1,335.48 / $1,632.76	Professional		$897.65	$1,335.48	$1,632.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,496.40 / $9,496.40 / $9,496.40	Facility		$9,496.40	$9,496.40	$9,496.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $704.97 / $2,159.50 / $3,411.44	Professional		$704.97	$2,159.50	$3,411.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,130.75 / $1,130.75 / $1,130.75	Professional		$1,130.75	$1,130.75	$1,130.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,021.30 / $2,469.57 / $2,469.57	Professional		$1,021.30	$2,469.57	$2,469.57
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 $474.62 / $1,133.95 / $1,892.80	Professional		$474.62	$1,133.95	$1,892.80