Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.14 / $704.03 / $14,482.00	Facility		$310.14	$704.03	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.14 / $332.79 / $1,414.61	Professional		$310.14	$332.79	$1,414.61
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 $359.71 / $759.53 / $1,907.46	Professional		$359.71	$759.53	$1,907.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $876.79 / $1,024.59 / $1,571.76	Facility		$876.79	$1,024.59	$1,571.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.63 / $1,302.79 / $1,480.44	Professional		$546.63	$1,302.79	$1,480.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $310.14 / $465.21 / $745.89	Facility		$310.14	$465.21	$745.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $313.99 / $559.38 / $5,261.00	Facility		$313.99	$559.38	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $395.66 / $742.34 / $3,232.86	Professional		$395.66	$742.34	$3,232.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $229.56 / $676.52	Professional		$54.30	$229.56	$676.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $310.14 / $464.11 / $745.89	Facility		$310.14	$464.11	$745.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $663.00 / $807.84 / $1,205.95	Professional		$663.00	$807.84	$1,205.95
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 $654.52 / $1,712.50 / $3,232.86	Professional		$654.52	$1,712.50	$3,232.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,164.01 / $1,164.01 / $1,164.01	Professional		$1,164.01	$1,164.01	$1,164.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,950.84 / $1,950.84	Professional		$1,174.90	$1,950.84	$1,950.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $382.42 / $750.08 / $1,730.86	Professional		$382.42	$750.08	$1,730.86