Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.19 / $869.83 / $14,482.00	Facility		$464.19	$869.83	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.21 / $464.19 / $1,371.86	Professional		$375.21	$464.19	$1,371.86
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 $401.75 / $1,111.23 / $2,299.07	Professional		$401.75	$1,111.23	$2,299.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,112.88 / $1,300.49 / $2,097.65	Facility		$1,112.88	$1,300.49	$2,097.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.87 / $1,264.85 / $1,759.52	Professional		$637.87	$1,264.85	$1,759.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $425.25 / $521.10 / $1,177.50	Facility		$425.25	$521.10	$1,177.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $463.91 / $4,103.00 / $8,384.00	Facility		$463.91	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $466.36 / $1,009.30 / $2,034.67	Professional		$466.36	$1,009.30	$2,034.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $304.05 / $872.05	Professional		$58.40	$304.05	$872.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $426.72 / $521.10 / $1,177.50	Facility		$426.72	$521.10	$1,177.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $838.50 / $1,242.92 / $1,525.17	Professional		$838.50	$1,242.92	$1,525.17
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 $659.60 / $2,018.60 / $3,827.26	Professional		$659.60	$2,018.60	$3,827.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,058.83 / $1,058.83 / $1,058.83	Professional		$1,058.83	$1,058.83	$1,058.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,057.33 / $2,310.67 / $2,310.67	Professional		$1,057.33	$2,310.67	$2,310.67
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $466.36 / $1,196.17 / $1,736.00	Professional		$466.36	$1,196.17	$1,736.00