Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.64 / $753.01 / $14,482.00	Facility		$400.64	$753.01	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.76 / $400.64 / $1,240.80	Professional		$325.76	$400.64	$1,240.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $8,456.00	Facility		$2,740.00	$4,780.00	$8,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.27 / $970.94 / $2,018.28	Professional		$350.27	$970.94	$2,018.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $957.89 / $1,119.36 / $1,805.51	Facility		$957.89	$1,119.36	$1,805.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.21 / $1,092.09 / $1,519.00	Professional		$552.21	$1,092.09	$1,519.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $370.09 / $450.78 / $1,488.38	Facility		$370.09	$450.78	$1,488.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $400.64 / $1,488.38 / $8,384.00	Facility		$400.64	$1,488.38	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $421.80 / $887.88 / $1,756.11	Professional		$421.80	$887.88	$1,756.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $296.26 / $777.39	Professional		$63.30	$296.26	$777.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $370.09 / $450.78 / $1,488.38	Facility		$370.09	$450.78	$1,488.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $728.00 / $1,119.13 / $1,324.18	Professional		$728.00	$1,119.13	$1,324.18
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 $569.51 / $1,775.75 / $2,793.67	Professional		$569.51	$1,775.75	$2,793.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $912.38 / $912.38 / $912.38	Professional		$912.38	$912.38	$912.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $949.30 / $1,995.02 / $1,995.02	Professional		$949.30	$1,995.02	$1,995.02
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 $423.29 / $1,063.63 / $1,556.44	Professional		$423.29	$1,063.63	$1,556.44