Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.45 / $817.90 / $3,173.15	Facility		$316.45	$817.90	$3,173.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.45 / $599.14 / $1,832.79	Professional		$316.45	$599.14	$1,832.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.45 / $775.01 / $1,954.29	Professional		$425.45	$775.01	$1,954.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,355.53 / $2,752.62 / $4,222.59	Facility		$2,355.53	$2,752.62	$4,222.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.41 / $1,566.80 / $3,900.24	Professional		$650.41	$1,566.80	$3,900.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $316.45 / $599.14 / $1,153.52	Facility		$316.45	$599.14	$1,153.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.45 / $710.74 / $6,669.00	Facility		$316.45	$710.74	$6,669.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $659.65 / $1,321.37 / $6,548.00	Professional		$659.65	$1,321.37	$6,548.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $709.99 / $1,821.83	Professional		$91.28	$709.99	$1,821.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $316.45 / $599.14 / $1,153.52	Facility		$316.45	$599.14	$1,153.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $991.51 / $1,476.28 / $2,901.39	Professional		$991.51	$1,476.28	$2,901.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,900.50 / $1,900.50 / $1,967.94	Facility		$1,900.50	$1,900.50	$1,967.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $887.21 / $2,997.42 / $6,548.00	Professional		$887.21	$2,997.42	$6,548.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,192.58 / $1,192.58 / $2,263.17	Professional		$1,192.58	$1,192.58	$2,263.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,576.37 / $2,299.42 / $5,139.42	Professional		$1,576.37	$2,299.42	$5,139.42
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $654.54 / $1,272.25 / $3,033.50	Professional		$654.54	$1,272.25	$3,033.50