Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.44 / $979.07 / $14,482.00	Facility		$443.44	$979.07	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.66 / $443.44 / $606.65	Professional		$372.66	$443.44	$606.65
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 $416.30 / $1,086.61 / $2,357.23	Professional		$416.30	$1,086.61	$2,357.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.35 / $1,465.82 / $2,364.31	Facility		$1,254.35	$1,465.82	$2,364.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.37 / $1,377.67 / $1,991.45	Professional		$648.37	$1,377.67	$1,991.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $443.44 / $522.16 / $935.55	Facility		$443.44	$522.16	$935.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.65 / $7,081.00 / $12,216.00	Facility		$478.65	$7,081.00	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $481.00 / $1,047.03 / $2,423.13	Professional		$481.00	$1,047.03	$2,423.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.10 / $354.10 / $1,003.99	Professional		$57.10	$354.10	$1,003.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $443.44 / $522.16 / $935.55	Facility		$443.44	$522.16	$935.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $617.19 / $1,132.72 / $1,697.78	Professional		$617.19	$1,132.72	$1,697.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,957.00 / $8,957.00 / $8,957.00	Facility		$8,957.00	$8,957.00	$8,957.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $667.72 / $2,016.59 / $3,557.04	Professional		$667.72	$2,016.59	$3,557.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,157.45 / $1,157.45 / $1,157.45	Professional		$1,157.45	$1,157.45	$1,157.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.12 / $2,691.12 / $2,691.12	Professional		$2,691.12	$2,691.12	$2,691.12
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 $481.00 / $1,312.67 / $2,032.27	Professional		$481.00	$1,312.67	$2,032.27