Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.76 / $808.58 / $14,482.00	Facility		$585.76	$808.58	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.66 / $585.76 / $1,902.30	Professional		$388.66	$585.76	$1,902.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.83 / $756.30 / $1,824.87	Professional		$398.83	$756.30	$1,824.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,211.10 / $1,415.27 / $2,282.78	Facility		$1,211.10	$1,415.27	$2,282.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.21 / $949.58 / $1,643.68	Professional		$445.21	$949.58	$1,643.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $415.40 / $574.99 / $874.65	Facility		$415.40	$574.99	$874.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $415.40 / $764.60 / $5,831.69	Facility		$415.40	$764.60	$5,831.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $441.88 / $964.90 / $3,379.76	Professional		$441.88	$964.90	$3,379.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $205.52 / $730.73	Professional		$57.05	$205.52	$730.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $407.83 / $574.99 / $952.16	Facility		$407.83	$574.99	$952.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $756.60 / $1,060.94 / $1,455.02	Professional		$756.60	$1,060.94	$1,455.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,747.76 / $2,747.76 / $2,747.76	Facility		$2,747.76	$2,747.76	$2,747.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $660.30 / $1,933.74 / $3,379.76	Professional		$660.30	$1,933.74	$3,379.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,827.54 / $1,827.54 / $2,124.85	Professional		$1,827.54	$1,827.54	$2,124.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,723.09 / $3,805.57 / $4,418.06	Professional		$1,723.09	$3,805.57	$4,418.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,523.30 / $6,072.00	Facility		$2,960.00	$4,523.30	$6,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.19 / $847.11 / $1,925.54	Professional		$439.19	$847.11	$1,925.54