Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.73 / $690.98 / $14,482.00	Facility		$440.73	$690.98	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.69 / $505.06 / $1,551.52	Professional		$297.69	$505.06	$1,551.52
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 $340.31 / $624.37 / $1,367.17	Professional		$340.31	$624.37	$1,367.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,233.63 / $1,441.60 / $2,325.25	Facility		$1,233.63	$1,441.60	$2,325.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.15 / $916.37 / $1,656.34	Professional		$397.15	$916.37	$1,656.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $280.52 / $497.15 / $829.18	Facility		$280.52	$497.15	$829.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $326.27 / $662.86 / $8,384.00	Facility		$326.27	$662.86	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.72 / $972.86 / $3,380.48	Professional		$467.72	$972.86	$3,380.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $244.82 / $732.45	Professional		$30.95	$244.82	$732.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $280.52 / $497.15 / $872.15	Facility		$280.52	$497.15	$872.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $572.00 / $951.98 / $1,451.01	Professional		$572.00	$951.98	$1,451.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,073.36 / $2,073.36 / $2,073.36	Facility		$2,073.36	$2,073.36	$2,073.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $496.91 / $1,948.64 / $3,380.48	Professional		$496.91	$1,948.64	$3,380.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,369.18 / $1,369.18 / $2,174.30	Professional		$1,369.18	$1,369.18	$2,174.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,298.70 / $2,873.46 / $4,452.24	Professional		$1,298.70	$2,873.46	$4,452.24
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.72 / $875.84 / $1,946.84	Professional		$467.72	$875.84	$1,946.84