Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.21 / $966.49 / $14,482.00	Facility		$562.21	$966.49	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.83 / $562.21 / $1,621.68	Professional		$389.83	$562.21	$1,621.68
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 $454.41 / $1,183.31 / $2,082.58	Professional		$454.41	$1,183.31	$2,082.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,221.02 / $1,426.86 / $2,301.46	Facility		$1,221.02	$1,426.86	$2,301.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.80 / $1,400.34 / $1,617.95	Professional		$665.80	$1,400.34	$1,617.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $515.46 / $657.79 / $2,601.67	Facility		$515.46	$657.79	$2,601.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $515.46 / $2,601.67 / $6,150.00	Facility		$515.46	$2,601.67	$6,150.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $550.25 / $1,167.73 / $2,292.96	Professional		$550.25	$1,167.73	$2,292.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.22 / $301.24 / $991.26	Professional		$67.22	$301.24	$991.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $515.46 / $657.79 / $2,601.67	Facility		$515.46	$657.79	$2,601.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $979.55 / $1,354.49 / $1,711.35	Professional		$979.55	$1,354.49	$1,711.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,886.70 / $2,886.70 / $2,886.70	Facility		$2,886.70	$2,886.70	$2,886.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $2,286.40 / $3,592.32	Professional		$686.00	$2,286.40	$3,592.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $874.82 / $874.82 / $874.82	Professional		$874.82	$874.82	$874.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $930.49 / $1,476.04 / $1,840.68	Professional		$930.49	$1,476.04	$1,840.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.25 / $1,368.41 / $2,004.03	Professional		$550.25	$1,368.41	$2,004.03