Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.23 / $835.72 / $9,245.00	Facility		$422.23	$835.72	$9,245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.55 / $431.21 / $1,329.43	Professional		$308.55	$431.21	$1,329.43
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 $364.54 / $889.88 / $1,547.42	Professional		$364.54	$889.88	$1,547.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,072.33 / $1,253.10 / $2,021.22	Facility		$1,072.33	$1,253.10	$2,021.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.41 / $1,052.17 / $1,411.22	Professional		$550.41	$1,052.17	$1,411.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $387.40 / $489.97 / $708.96	Facility		$387.40	$489.97	$708.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $387.40 / $637.13 / $8,384.00	Facility		$387.40	$637.13	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $452.45 / $1,083.41 / $2,694.16	Professional		$452.45	$1,083.41	$2,694.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $401.22 / $1,029.08	Professional		$65.50	$401.22	$1,029.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $391.71 / $489.97 / $708.96	Facility		$391.71	$489.97	$708.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $838.03 / $1,079.36 / $1,461.52	Professional		$838.03	$1,079.36	$1,461.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,164.40 / $2,164.40 / $2,164.40	Facility		$2,164.40	$2,164.40	$2,164.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $515.44 / $1,732.95 / $3,099.28	Professional		$515.44	$1,732.95	$3,099.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $657.86 / $657.86 / $766.00	Professional		$657.86	$657.86	$766.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $688.67 / $1,109.03 / $1,284.34	Professional		$688.67	$1,109.03	$1,284.34
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $440.06 / $1,042.72 / $1,582.86	Professional		$440.06	$1,042.72	$1,582.86