Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.49 / $991.24 / $14,482.00	Facility		$576.49	$991.24	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.05 / $576.49 / $1,722.57	Professional		$385.05	$576.49	$1,722.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.56 / $1,215.23 / $2,102.96	Professional		$482.56	$1,215.23	$2,102.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,242.64 / $1,452.13 / $2,342.23	Facility		$1,242.64	$1,452.13	$2,342.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.85 / $1,432.81 / $1,649.01	Professional		$682.85	$1,432.81	$1,649.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $472.50 / $637.17 / $947.18	Facility		$472.50	$637.17	$947.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $484.61 / $947.18 / $1,789.00	Facility		$484.61	$947.18	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $577.21 / $1,262.33 / $2,460.35	Professional		$577.21	$1,262.33	$2,460.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $674.85 / $1,320.35	Professional		$85.00	$674.85	$1,320.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $472.50 / $637.17 / $947.18	Facility		$472.50	$637.17	$947.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,015.30 / $1,403.93 / $1,773.81	Professional		$1,015.30	$1,403.93	$1,773.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,164.16 / $4,164.16 / $4,164.16	Facility		$4,164.16	$4,164.16	$4,164.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $701.90 / $2,405.05 / $3,699.44	Professional		$701.90	$2,405.05	$3,699.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $898.38 / $898.38 / $898.38	Professional		$898.38	$898.38	$898.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $889.47 / $1,510.25 / $1,510.25	Professional		$889.47	$1,510.25	$1,510.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $505.25 / $1,157.64 / $2,108.03	Professional		$505.25	$1,157.64	$2,108.03