Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.13 / $1,188.88 / $9,183.36	Facility		$297.13	$1,188.88	$9,183.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.13 / $626.63 / $1,948.13	Professional		$297.13	$626.63	$1,948.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.77 / $727.66 / $1,835.04	Professional		$442.77	$727.66	$1,835.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,826.57 / $2,134.48 / $3,274.37	Facility		$1,826.57	$2,134.48	$3,274.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.66 / $1,281.80 / $3,024.64	Professional		$592.66	$1,281.80	$3,024.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $315.48 / $637.42 / $1,186.30	Facility		$315.48	$637.42	$1,186.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $332.01 / $739.50 / $7,160.00	Facility		$332.01	$739.50	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $661.16 / $1,284.52 / $4,764.72	Professional		$661.16	$1,284.52	$4,764.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $536.25 / $1,408.46	Professional		$62.75	$536.25	$1,408.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $315.48 / $637.42 / $1,186.30	Facility		$315.48	$637.42	$1,186.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $763.46 / $1,348.31 / $2,286.62	Professional		$763.46	$1,348.31	$2,286.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,900.50 / $1,900.50 / $2,312.52	Facility		$1,900.50	$1,900.50	$2,312.52
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $151.53 / $151.53 / $151.53	Facility	AS	$151.53	$151.53	$151.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $756.25 / $2,643.33 / $5,049.60	Professional		$756.25	$2,643.33	$5,049.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,088.97 / $1,878.37 / $3,985.64	Professional		$1,088.97	$1,878.37	$3,985.64
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $7,611.00 / $9,134.00	Facility		$4,614.00	$7,611.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $661.16 / $1,123.97 / $2,779.02	Professional		$661.16	$1,123.97	$2,779.02