Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.97 / $984.61 / $14,482.00	Facility		$681.97	$984.61	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.51 / $705.96 / $1,782.58	Professional		$462.51	$705.96	$1,782.58
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 $526.58 / $897.78 / $2,318.65	Professional		$526.58	$897.78	$2,318.65
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $913.10 / $1,388.87 / $3,477.97	Professional	50	$913.10	$1,388.87	$3,477.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,746.37 / $2,040.77 / $3,291.69	Facility		$1,746.37	$2,040.77	$3,291.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $563.62 / $1,265.24 / $3,119.98	Professional		$563.62	$1,265.24	$3,119.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $503.32 / $709.48 / $1,225.75	Facility		$503.32	$709.48	$1,225.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $503.32 / $984.61 / $8,384.00	Facility		$503.32	$984.61	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $619.21 / $1,370.96 / $4,830.56	Professional		$619.21	$1,370.96	$4,830.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $349.74 / $1,069.25	Professional		$62.75	$349.74	$1,069.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $503.32 / $756.77 / $1,330.27	Facility		$503.32	$756.77	$1,330.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $884.65 / $1,461.33 / $2,175.81	Professional		$884.65	$1,461.33	$2,175.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,197.16 / $3,197.16 / $3,197.16	Facility		$3,197.16	$3,197.16	$3,197.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $773.85 / $2,774.21 / $4,830.56	Professional		$773.85	$2,774.21	$4,830.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,961.12 / $4,425.68 / $6,338.41	Professional		$1,961.12	$4,425.68	$6,338.41
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 $626.39 / $1,224.04 / $2,743.49	Professional		$626.39	$1,224.04	$2,743.49