Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.57 / $906.73 / $14,482.00	Facility		$401.57	$906.73	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.57 / $485.67 / $1,615.99	Professional		$401.57	$485.67	$1,615.99
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 $407.52 / $922.48 / $2,342.77	Professional		$407.52	$922.48	$2,342.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,149.83 / $1,343.67 / $2,061.21	Facility		$1,149.83	$1,343.67	$2,061.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.59 / $1,700.29 / $1,932.15	Professional		$680.59	$1,700.29	$1,932.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $401.57 / $562.20 / $906.84	Facility		$401.57	$562.20	$906.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $402.99 / $628.00 / $5,261.00	Facility		$402.99	$628.00	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $429.57 / $807.41 / $3,302.72	Professional		$429.57	$807.41	$3,302.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $367.10 / $941.05	Professional		$62.75	$367.10	$941.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $401.57 / $533.50 / $906.84	Facility		$401.57	$533.50	$906.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $917.80 / $1,118.30 / $1,669.41	Professional		$917.80	$1,118.30	$1,669.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,900.50 / $1,900.50 / $5,246.20	Facility		$1,900.50	$1,900.50	$5,246.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $854.22 / $2,026.45 / $3,302.72	Professional		$854.22	$2,026.45	$3,302.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,501.16 / $1,501.16 / $1,501.16	Professional		$1,501.16	$1,501.16	$1,501.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.04 / $2,366.86 / $2,546.04	Professional		$1,202.04	$2,366.86	$2,546.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $431.14 / $826.79 / $1,823.81	Professional		$431.14	$826.79	$1,823.81