Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.66 / $1,517.34 / $14,482.00	Facility		$616.66	$1,517.34	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.20 / $616.66 / $2,002.30	Professional		$394.20	$616.66	$2,002.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.29 / $796.19 / $1,923.37	Professional		$390.29	$796.19	$1,923.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,095.76 / $1,280.48 / $2,065.38	Facility		$1,095.76	$1,280.48	$2,065.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.51 / $1,002.38 / $1,491.10	Professional		$472.51	$1,002.38	$1,491.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $378.39 / $547.50 / $801.25	Facility		$378.39	$547.50	$801.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $394.20 / $4,103.00 / $8,384.00	Facility		$394.20	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $405.47 / $833.28 / $3,071.84	Professional		$405.47	$833.28	$3,071.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.10 / $287.75 / $765.23	Professional		$57.10	$287.75	$765.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $378.39 / $547.50 / $844.71	Facility		$378.39	$547.50	$844.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $735.00 / $970.20 / $1,377.15	Professional		$735.00	$970.20	$1,377.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,819.45 / $5,819.45 / $5,819.45	Facility		$5,819.45	$5,819.45	$5,819.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $646.85 / $2,002.30 / $3,071.84	Professional		$646.85	$2,002.30	$3,071.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,926.19 / $1,926.19 / $1,926.19	Professional		$1,926.19	$1,926.19	$1,926.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,583.95 / $2,487.15 / $4,007.92	Professional		$1,583.95	$2,487.15	$4,007.92
United Facility/Professional Facility Modifier Low / Median / High Price $4,665.92 / $7,611.00 / $9,134.00	Facility		$4,665.92	$7,611.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.87 / $833.28 / $1,742.31	Professional		$418.87	$833.28	$1,742.31