Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.42 / $919.35 / $14,482.00	Facility		$407.42	$919.35	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.42 / $414.38 / $1,538.20	Professional		$407.42	$414.38	$1,538.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,338.00 / $6,049.00	Facility		$2,740.00	$4,338.00	$6,049.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.71 / $1,139.92 / $3,323.90	Professional		$424.71	$1,139.92	$3,323.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,160.64 / $1,356.30 / $2,187.67	Facility		$1,160.64	$1,356.30	$2,187.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.89 / $1,722.90 / $1,957.84	Professional		$849.89	$1,722.90	$1,957.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $407.42 / $594.59 / $981.25	Facility		$407.42	$594.59	$981.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $449.46 / $1,716.00 / $7,700.00	Facility		$449.46	$1,716.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $500.78 / $1,113.75 / $3,231.21	Professional		$500.78	$1,113.75	$3,231.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $388.93 / $1,020.87	Professional		$63.30	$388.93	$1,020.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $407.42 / $615.20 / $981.25	Facility		$407.42	$615.20	$981.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $937.30 / $1,442.00 / $1,907.81	Professional		$937.30	$1,442.00	$1,907.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,450.20 / $5,450.20 / $5,450.20	Facility		$5,450.20	$5,450.20	$5,450.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $865.57 / $2,094.00 / $3,535.02	Professional		$865.57	$2,094.00	$3,535.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,523.13 / $1,523.13 / $1,523.13	Professional		$1,523.13	$1,523.13	$1,523.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,497.20 / $2,579.89 / $2,579.89	Professional		$1,497.20	$2,579.89	$2,579.89
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 $500.78 / $1,407.17 / $2,116.44	Professional		$500.78	$1,407.17	$2,116.44