Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.92 / $800.04 / $14,482.00	Facility		$528.92	$800.04	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.11 / $615.09 / $1,868.74	Professional		$342.11	$615.09	$1,868.74
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 $351.30 / $696.32 / $1,651.93	Professional		$351.30	$696.32	$1,651.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,423.77 / $1,663.79 / $2,683.63	Facility		$1,423.77	$1,663.79	$2,683.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.45 / $1,055.73 / $1,919.39	Professional		$454.45	$1,055.73	$1,919.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $322.83 / $559.72 / $960.05	Facility		$322.83	$559.72	$960.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $339.27 / $743.66 / $8,384.00	Facility		$339.27	$743.66	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $506.65 / $1,103.84 / $3,928.48	Professional		$506.65	$1,103.84	$3,928.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $270.13 / $858.04	Professional		$30.95	$270.13	$858.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $322.83 / $542.61 / $981.54	Facility		$322.83	$542.61	$981.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $680.55 / $1,132.64 / $1,681.12	Professional		$680.55	$1,132.64	$1,681.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,474.04 / $2,474.04 / $2,474.04	Facility		$2,474.04	$2,474.04	$2,474.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $595.01 / $2,258.10 / $3,928.48	Professional		$595.01	$2,258.10	$3,928.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,654.36 / $1,654.36 / $2,517.36	Professional		$1,654.36	$1,654.36	$2,517.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,583.43 / $3,426.58 / $5,159.21	Professional		$1,583.43	$3,426.58	$5,159.21
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 $506.65 / $976.80 / $2,192.96	Professional		$506.65	$976.80	$2,192.96