Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.14 / $854.24 / $9,245.00	Facility		$432.14	$854.24	$9,245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.92 / $447.61 / $1,700.00	Professional		$311.92	$447.61	$1,700.00
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 $367.31 / $908.41 / $1,556.98	Professional		$367.31	$908.41	$1,556.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,102.97 / $1,288.91 / $2,078.96	Facility		$1,102.97	$1,288.91	$2,078.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.74 / $1,079.32 / $1,449.46	Professional		$534.74	$1,079.32	$1,449.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $396.54 / $514.23 / $816.27	Facility		$396.54	$514.23	$816.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $390.14 / $710.47 / $8,129.86	Facility		$390.14	$710.47	$8,129.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $455.29 / $1,091.65 / $2,747.76	Professional		$455.29	$1,091.65	$2,747.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $323.06 / $920.68	Professional		$63.30	$323.06	$920.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $396.54 / $514.23 / $816.27	Facility		$396.54	$514.23	$816.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $848.59 / $1,072.25 / $1,481.96	Professional		$848.59	$1,072.25	$1,481.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,207.05 / $2,207.05 / $2,207.05	Facility		$2,207.05	$2,207.05	$2,207.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $528.74 / $1,774.44 / $3,157.76	Professional		$528.74	$1,774.44	$3,157.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $671.54 / $671.54 / $782.88	Professional		$671.54	$671.54	$782.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $732.18 / $1,137.68 / $1,315.10	Professional		$732.18	$1,137.68	$1,315.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,611.00 / $9,134.00	Facility		$4,918.00	$7,611.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.40 / $1,007.07 / $1,654.78	Professional		$437.40	$1,007.07	$1,654.78