Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.87 / $959.60 / $14,482.00	Facility		$431.87	$959.60	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.87 / $455.53 / $1,812.58	Professional		$431.87	$455.53	$1,812.58
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 $469.53 / $980.29 / $2,663.19	Professional		$469.53	$980.29	$2,663.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,217.41 / $1,422.64 / $2,182.37	Facility		$1,217.41	$1,422.64	$2,182.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $688.51 / $1,799.94 / $2,045.39	Professional		$688.51	$1,799.94	$2,045.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $431.87 / $605.30 / $969.66	Facility		$431.87	$605.30	$969.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $431.87 / $770.39 / $7,891.00	Facility		$431.87	$770.39	$7,891.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $492.72 / $907.50 / $4,940.10	Professional		$492.72	$907.50	$4,940.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $358.17 / $962.62	Professional		$62.75	$358.17	$962.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $431.87 / $604.62 / $969.66	Facility		$431.87	$604.62	$969.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $904.15 / $1,101.67 / $1,644.58	Professional		$904.15	$1,101.67	$1,644.58
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 $904.29 / $2,304.55 / $4,940.10	Professional		$904.29	$2,304.55	$4,940.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,625.21 / $1,625.21 / $1,625.21	Professional		$1,625.21	$1,625.21	$1,625.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,454.48 / $2,541.96 / $2,695.28	Professional		$1,454.48	$2,541.96	$2,695.28
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 $487.21 / $879.88 / $2,087.92	Professional		$487.21	$879.88	$2,087.92