Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.66 / $907.16 / $14,482.00	Facility		$529.66	$907.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.81 / $529.66 / $1,457.54	Professional		$360.81	$529.66	$1,457.54
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 $420.37 / $1,109.15 / $1,902.52	Professional		$420.37	$1,109.15	$1,902.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,157.04 / $1,352.09 / $2,180.87	Facility		$1,157.04	$1,352.09	$2,180.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.92 / $1,318.87 / $1,527.13	Professional		$624.92	$1,318.87	$1,527.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $443.50 / $583.76 / $866.84	Facility		$443.50	$583.76	$866.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $483.82 / $1,716.00 / $7,700.00	Facility		$483.82	$1,716.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $504.04 / $1,056.76 / $2,057.35	Professional		$504.04	$1,056.76	$2,057.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $249.26 / $894.13	Professional		$62.69	$249.26	$894.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $483.82 / $583.76 / $866.84	Facility		$483.82	$583.76	$866.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $911.95 / $1,261.02 / $1,593.25	Professional		$911.95	$1,261.02	$1,593.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,777.50 / $4,777.50 / $4,777.50	Facility		$4,777.50	$4,777.50	$4,777.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $646.09 / $2,102.60 / $3,366.24	Professional		$646.09	$2,102.60	$3,366.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $825.35 / $825.35 / $825.35	Professional		$825.35	$825.35	$825.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $814.02 / $1,390.17 / $1,390.17	Professional		$814.02	$1,390.17	$1,390.17
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 $494.83 / $969.72 / $1,820.26	Professional		$494.83	$969.72	$1,820.26