Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.48 / $995.20 / $14,482.00	Facility		$720.48	$995.20	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.07 / $720.48 / $2,338.44	Professional		$469.07	$720.48	$2,338.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $472.87 / $930.24 / $2,239.94	Professional		$472.87	$930.24	$2,239.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,415.66 / $1,654.31 / $2,668.34	Facility		$1,415.66	$1,654.31	$2,668.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.23 / $1,113.35 / $1,922.56	Professional		$537.23	$1,113.35	$1,922.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $485.95 / $685.58 / $1,025.47	Facility		$485.95	$685.58	$1,025.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $485.95 / $923.18 / $4,130.00	Facility		$485.95	$923.18	$4,130.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $517.27 / $1,131.26 / $3,954.48	Professional		$517.27	$1,131.26	$3,954.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $270.82 / $855.76	Professional		$58.42	$270.82	$855.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $469.07 / $685.58 / $1,029.00	Facility		$469.07	$685.58	$1,029.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $932.10 / $1,242.35 / $1,703.84	Professional		$932.10	$1,242.35	$1,703.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,377.82 / $3,377.82 / $3,377.82	Facility		$3,377.82	$3,377.82	$3,377.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $814.02 / $2,338.44 / $3,954.48	Professional		$814.02	$2,338.44	$3,954.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,243.21 / $2,243.21 / $2,487.53	Professional		$2,243.21	$2,243.21	$2,487.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,020.15 / $4,679.67 / $5,167.68	Professional		$2,020.15	$4,679.67	$5,167.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $519.14 / $1,028.42 / $2,256.77	Professional		$519.14	$1,028.42	$2,256.77