Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.95 / $519.95 / $14,482.00	Facility		$519.95	$519.95	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.01 / $554.38 / $807.32	Professional		$486.01	$554.38	$807.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,159.00 / $8,456.00 / $10,914.00	Facility		$6,159.00	$8,456.00	$10,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $550.61 / $1,271.34 / $3,117.71	Professional		$550.61	$1,271.34	$3,117.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,203.90 / $1,406.85 / $2,158.14	Facility		$1,203.90	$1,406.85	$2,158.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.20 / $1,230.75 / $1,642.81	Professional		$743.20	$1,230.75	$1,642.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $356.72 / $639.13 / $957.70	Facility		$356.72	$639.13	$957.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.51 / $795.52 / $11,100.00	Facility		$380.51	$795.52	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $330.23 / $617.60 / $4,216.88	Professional		$330.23	$617.60	$4,216.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $85.00 / $849.76	Professional		$58.40	$85.00	$849.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $356.72 / $639.13 / $957.70	Facility		$356.72	$639.13	$957.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,086.56 / $1,378.87 / $1,977.08	Professional		$1,086.56	$1,378.87	$1,977.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,392.60 / $9,392.60 / $9,392.60	Facility		$9,392.60	$9,392.60	$9,392.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.18 / $2,733.80 / $4,216.88	Professional		$1,096.18	$2,733.80	$4,216.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,092.01 / $1,092.01 / $1,092.01	Professional		$1,092.01	$1,092.01	$1,092.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $939.51 / $1,873.51 / $1,873.51	Professional		$939.51	$1,873.51	$1,873.51
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,882.00 / $12,631.00	Facility		$6,073.00	$9,882.00	$12,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.89 / $589.52 / $1,449.42	Professional		$320.89	$589.52	$1,449.42