Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.38 / $754.40 / $14,482.00	Facility		$401.38	$754.40	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.33 / $368.88 / $1,243.08	Professional		$326.33	$368.88	$1,243.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,838.00 / $18,458.00	Facility		$7,084.00	$11,838.00	$18,458.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.61 / $972.97 / $2,017.05	Professional		$350.61	$972.97	$2,017.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $959.69 / $1,121.48 / $1,808.90	Facility		$959.69	$1,121.48	$1,808.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.23 / $1,148.41 / $1,521.87	Professional		$553.23	$1,148.41	$1,521.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $370.71 / $451.58 / $1,833.68	Facility		$370.71	$451.58	$1,833.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $401.38 / $1,833.68 / $16,779.00	Facility		$401.38	$1,833.68	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $422.58 / $888.75 / $1,759.34	Professional		$422.58	$888.75	$1,759.34
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 $370.71 / $451.58 / $1,833.68	Facility		$370.71	$451.58	$1,833.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $729.30 / $1,122.00 / $1,326.54	Professional		$729.30	$1,122.00	$1,326.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,223.75 / $16,223.75 / $16,223.75	Facility		$16,223.75	$16,223.75	$16,223.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $570.55 / $1,777.50 / $2,806.88	Professional		$570.55	$1,777.50	$2,806.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $914.07 / $914.07 / $914.07	Professional		$914.07	$914.07	$914.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $948.74 / $1,998.72 / $1,998.72	Professional		$948.74	$1,998.72	$1,998.72
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $423.67 / $1,181.35 / $1,626.16	Professional		$423.67	$1,181.35	$1,626.16