Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.39 / $816.95 / $14,482.00	Facility		$476.39	$816.95	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.79 / $476.39 / $1,255.73	Professional		$323.79	$476.39	$1,255.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $11,015.00 / $15,810.00	Facility		$6,538.00	$11,015.00	$15,810.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.08 / $978.57 / $1,730.54	Professional		$378.08	$978.57	$1,730.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,039.89 / $1,215.20 / $1,960.07	Facility		$1,039.89	$1,215.20	$1,960.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.79 / $1,186.65 / $1,374.18	Professional		$562.79	$1,186.65	$1,374.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $435.71 / $557.38 / $1,648.05	Facility		$435.71	$557.38	$1,648.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $435.71 / $1,648.05 / $7,700.00	Facility		$435.71	$1,648.05	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $430.55 / $964.84 / $1,892.66	Professional		$430.55	$964.84	$1,892.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $314.21 / $873.78	Professional		$63.30	$314.21	$873.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $435.71 / $621.57 / $1,648.05	Facility		$435.71	$621.57	$1,648.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $821.60 / $1,136.08 / $1,435.40	Professional		$821.60	$1,136.08	$1,435.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,217.50 / $4,217.50 / $4,217.50	Facility		$4,217.50	$4,217.50	$4,217.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $581.30 / $2,185.58 / $3,074.35	Professional		$581.30	$2,185.58	$3,074.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $743.09 / $743.09 / $743.09	Professional		$743.09	$743.09	$743.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $743.79 / $1,250.79 / $2,160.86	Professional		$743.79	$1,250.79	$2,160.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $458.23 / $956.62 / $1,655.30	Professional		$458.23	$956.62	$1,655.30