Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.89 / $888.03 / $14,482.00	Facility		$473.89	$888.03	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.32 / $473.89 / $1,427.64	Professional		$383.32	$473.89	$1,427.64
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 $409.98 / $1,134.18 / $2,346.92	Professional		$409.98	$1,134.18	$2,346.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,135.41 / $1,326.82 / $2,140.11	Facility		$1,135.41	$1,326.82	$2,140.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.23 / $1,290.85 / $1,795.32	Professional		$651.23	$1,290.85	$1,795.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $436.42 / $532.16 / $1,996.41	Facility		$436.42	$532.16	$1,996.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $473.62 / $1,996.41 / $8,384.00	Facility		$473.62	$1,996.41	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $490.57 / $1,031.50 / $2,077.21	Professional		$490.57	$1,031.50	$2,077.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $359.56 / $935.43	Professional		$63.30	$359.56	$935.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $436.42 / $532.16 / $1,996.41	Facility		$436.42	$532.16	$1,996.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $856.70 / $1,271.24 / $1,558.27	Professional		$856.70	$1,271.24	$1,558.27
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 $673.17 / $2,063.00 / $4,307.72	Professional		$673.17	$2,063.00	$4,307.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,080.90 / $1,080.90 / $1,080.90	Professional		$1,080.90	$1,080.90	$1,080.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,077.43 / $2,358.16 / $2,358.16	Professional		$1,077.43	$2,358.16	$2,358.16
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 $453.89 / $1,103.72 / $1,808.22	Professional		$453.89	$1,103.72	$1,808.22