Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.88 / $948.33 / $14,482.00	Facility		$689.88	$948.33	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.11 / $710.94 / $2,289.90	Professional		$464.11	$710.94	$2,289.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $513.58 / $890.73 / $2,155.80	Professional		$513.58	$890.73	$2,155.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,579.66 / $1,845.96 / $2,977.47	Facility		$1,579.66	$1,845.96	$2,977.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.91 / $1,225.89 / $2,139.94	Professional		$527.91	$1,225.89	$2,139.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $468.73 / $689.66 / $1,067.11	Facility		$468.73	$689.66	$1,067.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $505.78 / $901.59 / $11,598.00	Facility		$505.78	$901.59	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $548.09 / $1,247.85 / $4,394.96	Professional		$548.09	$1,247.85	$4,394.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $295.10 / $973.35	Professional		$58.42	$295.10	$973.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $464.11 / $689.66 / $1,122.96	Facility		$464.11	$689.66	$1,122.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $887.90 / $1,376.46 / $1,887.74	Professional		$887.90	$1,376.46	$1,887.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,224.10 / $3,224.10 / $3,224.10	Facility		$3,224.10	$3,224.10	$3,224.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $776.30 / $2,517.57 / $4,394.96	Professional		$776.30	$2,517.57	$4,394.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,158.96 / $2,158.96 / $2,784.10	Professional		$2,158.96	$2,158.96	$2,784.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,706.35 / $4,464.89 / $5,752.05	Professional		$1,706.35	$4,464.89	$5,752.05
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $568.42 / $1,124.98 / $2,488.73	Professional		$568.42	$1,124.98	$2,488.73