Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.73 / $841.28 / $14,482.00	Facility		$489.73	$841.28	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.29 / $489.73 / $1,332.79	Professional		$321.29	$489.73	$1,332.79
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 $386.20 / $1,013.16 / $1,762.04	Professional		$386.20	$1,013.16	$1,762.04
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 $579.54 / $1,221.47 / $1,417.20	Professional		$579.54	$1,221.47	$1,417.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $447.27 / $572.98 / $2,031.14	Facility		$447.27	$572.98	$2,031.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $448.68 / $2,031.14 / $7,700.00	Facility		$448.68	$2,031.14	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $462.68 / $909.34 / $1,880.26	Professional		$462.68	$909.34	$1,880.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $339.92 / $876.33	Professional		$65.00	$339.92	$876.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $447.27 / $638.15 / $2,031.14	Facility		$447.27	$638.15	$2,031.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $844.35 / $1,167.54 / $1,475.14	Professional		$844.35	$1,167.54	$1,475.14
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 $598.38 / $1,931.85 / $3,112.72	Professional		$598.38	$1,931.85	$3,112.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $762.55 / $762.55 / $762.55	Professional		$762.55	$762.55	$762.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $746.57 / $1,287.50 / $1,287.50	Professional		$746.57	$1,287.50	$1,287.50
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 $460.21 / $1,104.93 / $1,672.44	Professional		$460.21	$1,104.93	$1,672.44