Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.76 / $937.35 / $14,482.00	Facility		$426.76	$937.35	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.58 / $455.12 / $2,112.14	Professional		$409.58	$455.12	$2,112.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $15,502.00 / $22,165.00	Facility		$11,499.00	$15,502.00	$22,165.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $630.63 / $3,327.49	Professional		$30.57	$630.63	$3,327.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,156.14 / $1,351.04 / $2,179.17	Facility		$1,156.14	$1,351.04	$2,179.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $856.80 / $1,774.98 / $2,017.03	Professional		$856.80	$1,774.98	$2,017.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $426.76 / $568.90 / $895.69	Facility		$426.76	$568.90	$895.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $458.26 / $2,803.00 / $7,868.00	Facility		$458.26	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $603.54 / $1,160.78 / $2,973.21	Professional		$603.54	$1,160.78	$2,973.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $962.49 / $1,155.11	Professional		$65.00	$962.49	$1,155.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $426.76 / $568.90 / $895.69	Facility		$426.76	$568.90	$895.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $910.65 / $1,406.18 / $1,907.80	Professional		$910.65	$1,406.18	$1,907.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,984.88 / $5,984.88 / $5,984.88	Facility		$5,984.88	$5,984.88	$5,984.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $891.74 / $2,743.93 / $5,741.42	Professional		$891.74	$2,743.93	$5,741.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,629.77 / $1,629.77 / $1,629.77	Professional		$1,629.77	$1,629.77	$1,629.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,094.25 / $2,657.91 / $2,657.91	Professional		$1,094.25	$2,657.91	$2,657.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $557.11 / $1,412.58 / $2,567.31	Professional		$557.11	$1,412.58	$2,567.31