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 $383.96 / $585.76 / $1,902.30	Professional		$383.96	$585.76	$1,902.30
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 $387.65 / $756.30 / $1,824.87	Professional		$387.65	$756.30	$1,824.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,175.06 / $1,373.15 / $2,214.84	Facility		$1,175.06	$1,373.15	$2,214.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.72 / $934.39 / $1,596.14	Professional		$440.72	$934.39	$1,596.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $403.64 / $574.99 / $851.22	Facility		$403.64	$574.99	$851.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $409.00 / $764.60 / $8,384.00	Facility		$409.00	$764.60	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $430.82 / $871.16 / $3,680.00	Professional		$430.82	$871.16	$3,680.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $244.01 / $709.49	Professional		$58.42	$244.01	$709.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $403.64 / $574.99 / $930.45	Facility		$403.64	$574.99	$930.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $756.60 / $1,030.96 / $1,413.91	Professional		$756.60	$1,030.96	$1,413.91
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 $614.16 / $1,877.81 / $3,680.00	Professional		$614.16	$1,877.81	$3,680.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,827.54 / $1,827.54 / $2,065.40	Professional		$1,827.54	$1,827.54	$2,065.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,477.94 / $3,805.57 / $4,290.34	Professional		$1,477.94	$3,805.57	$4,290.34
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 $428.74 / $791.80 / $1,871.50	Professional		$428.74	$791.80	$1,871.50