Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.89 / $904.28 / $14,482.00	Facility		$654.89	$904.28	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.53 / $671.38 / $2,131.71	Professional		$456.53	$671.38	$2,131.71
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 $475.65 / $845.55 / $2,219.00	Professional		$475.65	$845.55	$2,219.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,472.43 / $1,720.65 / $2,775.35	Facility		$1,472.43	$1,720.65	$2,775.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.37 / $1,125.23 / $2,360.86	Professional		$507.37	$1,125.23	$2,360.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $482.28 / $654.89 / $1,041.34	Facility		$482.28	$654.89	$1,041.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $482.28 / $852.51 / $8,384.00	Facility		$482.28	$852.51	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $556.22 / $1,155.99 / $4,659.41	Professional		$556.22	$1,155.99	$4,659.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $294.16 / $863.82	Professional		$58.42	$294.16	$863.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $482.28 / $654.89 / $1,146.66	Facility		$482.28	$654.89	$1,146.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $848.90 / $1,284.17 / $1,848.76	Professional		$848.90	$1,284.17	$1,848.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,066.96 / $3,066.96 / $3,066.96	Facility		$3,066.96	$3,066.96	$3,066.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $743.77 / $2,343.73 / $4,659.41	Professional		$743.77	$2,343.73	$4,659.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,040.95 / $2,040.95 / $2,603.42	Professional		$2,040.95	$2,040.95	$2,603.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,045.63 / $4,244.56 / $5,354.87	Professional		$2,045.63	$4,244.56	$5,354.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $7,280.00 / $9,134.00	Facility		$4,103.00	$7,280.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $556.22 / $1,076.81 / $2,313.30	Professional		$556.22	$1,076.81	$2,313.30