Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.86 / $1,391.55 / $14,482.00	Facility		$568.86	$1,391.55	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.92 / $568.86 / $1,852.80	Professional		$365.92	$568.86	$1,852.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,638.00 / $6,491.46	Facility		$1,905.00	$3,638.00	$6,491.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.04 / $734.47 / $1,775.33	Professional		$360.04	$734.47	$1,775.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,002.95 / $1,172.02 / $1,890.43	Facility		$1,002.95	$1,172.02	$1,890.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.68 / $915.75 / $1,369.61	Professional		$431.68	$915.75	$1,369.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $347.02 / $523.39 / $743.89	Facility		$347.02	$523.39	$743.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $365.92 / $1,716.00 / $7,700.00	Facility		$365.92	$1,716.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $369.30 / $811.53 / $2,827.76	Professional		$369.30	$811.53	$2,827.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.10 / $247.38 / $650.30	Professional		$57.10	$247.38	$650.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $347.02 / $523.39 / $772.09	Facility		$347.02	$523.39	$772.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $674.40 / $890.21 / $1,263.59	Professional		$674.40	$890.21	$1,263.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,930.50 / $3,930.50 / $3,930.50	Facility		$3,930.50	$3,930.50	$3,930.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $626.62 / $1,852.80 / $2,827.76	Professional		$626.62	$1,852.80	$2,827.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,777.95 / $1,777.95 / $1,777.95	Professional		$1,777.95	$1,777.95	$1,777.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,460.26 / $2,295.75 / $3,681.51	Professional		$1,460.26	$2,295.75	$3,681.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.15 / $743.38 / $1,623.98	Professional		$375.15	$743.38	$1,623.98