Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.92 / $716.24 / $14,482.00	Facility		$322.92	$716.24	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.92 / $369.15 / $1,352.90	Professional		$322.92	$369.15	$1,352.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,159.00 / $8,456.00 / $10,914.00	Facility		$6,159.00	$8,456.00	$10,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.08 / $685.37 / $2,003.59	Professional		$349.08	$685.37	$2,003.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $896.61 / $1,047.76 / $1,607.30	Facility		$896.61	$1,047.76	$1,607.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.17 / $1,346.22 / $1,529.80	Professional		$549.17	$1,346.22	$1,529.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $322.92 / $482.17 / $716.24	Facility		$322.92	$482.17	$716.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $327.73 / $588.75 / $1,756.00	Facility		$327.73	$588.75	$1,756.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $409.40 / $721.17 / $2,624.08	Professional		$409.40	$721.17	$2,624.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $189.53 / $353.61 / $781.95	Professional		$189.53	$353.61	$781.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $322.92 / $481.15 / $716.24	Facility		$322.92	$481.15	$716.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $704.17 / $858.53 / $1,281.60	Professional		$704.17	$858.53	$1,281.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,639.37 / $2,639.37 / $2,639.37	Facility		$2,639.37	$2,639.37	$2,639.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $676.32 / $1,738.15 / $2,624.08	Professional		$676.32	$1,738.15	$2,624.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,222.67 / $1,222.67 / $1,222.67	Professional		$1,222.67	$1,222.67	$1,222.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,169.23 / $2,015.82 / $2,015.82	Professional		$1,169.23	$2,015.82	$2,015.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,507.00 / $2,202.90	Facility		$1,008.00	$1,507.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $409.17 / $717.02 / $1,634.96	Professional		$409.17	$717.02	$1,634.96