Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.77 / $855.18 / $14,482.00	Facility		$383.77	$855.18	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.77 / $441.43 / $1,615.34	Professional		$383.77	$441.43	$1,615.34
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 $404.45 / $932.10 / $2,276.48	Professional		$404.45	$932.10	$2,276.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,078.64 / $1,260.48 / $1,933.60	Facility		$1,078.64	$1,260.48	$1,933.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.81 / $1,611.03 / $1,830.71	Professional		$660.81	$1,611.03	$1,830.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $383.77 / $537.28 / $855.18	Facility		$383.77	$537.28	$855.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $383.77 / $658.17 / $5,261.00	Facility		$383.77	$658.17	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $471.80 / $813.11 / $3,134.72	Professional		$471.80	$813.11	$3,134.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $336.40 / $926.01	Professional		$62.75	$336.40	$926.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $383.77 / $528.00 / $855.18	Facility		$383.77	$528.00	$855.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $846.95 / $1,031.98 / $1,540.54	Professional		$846.95	$1,031.98	$1,540.54
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 $809.38 / $2,022.65 / $3,134.72	Professional		$809.38	$2,022.65	$3,134.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,458.69 / $1,458.69 / $1,458.69	Professional		$1,458.69	$1,458.69	$1,458.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,340.99 / $2,333.14 / $2,412.37	Professional		$1,340.99	$2,333.14	$2,412.37
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 $462.31 / $848.83 / $1,832.52	Professional		$462.31	$848.83	$1,832.52