Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.85 / $912.35 / $14,482.00	Facility		$531.85	$912.35	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.33 / $531.85 / $1,605.59	Professional		$384.33	$531.85	$1,605.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,835.00 / $7,344.00	Facility		$2,740.00	$4,835.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.55 / $1,123.81 / $2,022.52	Professional		$446.55	$1,123.81	$2,022.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,143.52 / $1,336.30 / $2,155.40	Facility		$1,143.52	$1,336.30	$2,155.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.51 / $1,321.36 / $1,524.10	Professional		$628.51	$1,321.36	$1,524.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $446.04 / $622.26 / $881.78	Facility		$446.04	$622.26	$881.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $486.59 / $1,716.00 / $7,700.00	Facility		$486.59	$1,716.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $539.04 / $1,156.15 / $2,275.84	Professional		$539.04	$1,156.15	$2,275.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $630.76 / $1,250.03	Professional		$85.00	$630.76	$1,250.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $446.04 / $622.26 / $881.78	Facility		$446.04	$622.26	$881.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $936.65 / $1,295.17 / $1,636.40	Professional		$936.65	$1,295.17	$1,636.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,047.14 / $6,047.14 / $6,047.14	Facility		$6,047.14	$6,047.14	$6,047.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $647.30 / $2,227.19 / $3,417.68	Professional		$647.30	$2,227.19	$3,417.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,107.70 / $1,107.70 / $1,107.70	Professional		$1,107.70	$1,107.70	$1,107.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,207.94 / $2,413.86 / $2,413.86	Professional		$1,207.94	$2,413.86	$2,413.86
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 $539.04 / $1,332.98 / $1,952.14	Professional		$539.04	$1,332.98	$1,952.14