Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.41 / $851.02 / $14,482.00	Facility		$615.41	$851.02	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.03 / $615.41 / $1,978.55	Professional		$421.03	$615.41	$1,978.55
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 $408.19 / $794.58 / $1,940.02	Professional		$408.19	$794.58	$1,940.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,257.96 / $1,470.03 / $2,371.11	Facility		$1,257.96	$1,470.03	$2,371.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.29 / $983.41 / $1,702.85	Professional		$473.29	$983.41	$1,702.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $430.23 / $598.82 / $891.35	Facility		$430.23	$598.82	$891.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $430.23 / $791.73 / $8,384.00	Facility		$430.23	$791.73	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $460.26 / $985.47 / $3,494.32	Professional		$460.26	$985.47	$3,494.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $250.69 / $766.45	Professional		$30.95	$250.69	$766.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $421.03 / $598.82 / $1,054.89	Facility		$421.03	$598.82	$1,054.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $796.90 / $1,099.58 / $1,508.03	Professional		$796.90	$1,099.58	$1,508.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,893.32 / $2,893.32 / $2,893.32	Facility		$2,893.32	$2,893.32	$2,893.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $694.36 / $2,003.36 / $3,494.32	Professional		$694.36	$2,003.36	$3,494.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,912.19 / $1,912.19 / $2,191.80	Professional		$1,912.19	$1,912.19	$2,191.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,781.19 / $4,007.19 / $4,577.14	Professional		$1,781.19	$4,007.19	$4,577.14
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 $460.26 / $895.88 / $1,968.36	Professional		$460.26	$895.88	$1,968.36