Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.65 / $849.78 / $14,482.00	Facility		$613.65	$849.78	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.71 / $643.05 / $2,106.39	Professional		$424.71	$643.05	$2,106.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.42 / $792.30 / $1,908.61	Professional		$473.42	$792.30	$1,908.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,460.72 / $1,706.96 / $2,753.27	Facility		$1,460.72	$1,706.96	$2,753.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.59 / $1,089.04 / $1,972.83	Professional		$479.59	$1,089.04	$1,972.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $412.81 / $604.29 / $985.42	Facility		$412.81	$604.29	$985.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $438.35 / $819.00 / $11,598.00	Facility		$438.35	$819.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.98 / $1,146.08 / $4,043.28	Professional		$537.98	$1,146.08	$4,043.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $288.49 / $832.50	Professional		$58.42	$288.49	$832.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $412.81 / $604.29 / $1,034.93	Facility		$412.81	$604.29	$1,034.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $794.95 / $1,252.59 / $1,735.21	Professional		$794.95	$1,252.59	$1,735.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,879.94 / $2,879.94 / $2,879.94	Facility		$2,879.94	$2,879.94	$2,879.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $692.87 / $2,320.96 / $4,043.28	Professional		$692.87	$2,320.96	$4,043.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,911.40 / $1,911.40 / $2,579.96	Professional		$1,911.40	$1,911.40	$2,579.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,573.10 / $3,989.53 / $5,302.82	Professional		$1,573.10	$3,989.53	$5,302.82
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $539.91 / $1,008.98 / $2,293.48	Professional		$539.91	$1,008.98	$2,293.48