Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.57 / $601.57 / $14,482.00	Facility		$601.57	$601.57	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.51 / $601.57 / $752.15	Professional		$227.51	$601.57	$752.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $633.16 / $1,375.24 / $3,365.36	Professional		$633.16	$1,375.24	$3,365.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,547.22 / $1,808.05 / $2,916.32	Facility		$1,547.22	$1,808.05	$2,916.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $814.69 / $1,548.68	Professional		$540.82	$814.69	$1,548.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $522.79 / $655.49 / $873.98	Facility		$522.79	$655.49	$873.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.66 / $1,402.76 / $4,514.00	Facility		$524.66	$1,402.76	$4,514.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $578.12 / $1,122.57 / $2,677.99	Professional		$578.12	$1,122.57	$2,677.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $70.00 / $1,164.29	Professional		$55.00	$70.00	$1,164.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $522.79 / $655.49 / $873.98	Facility		$522.79	$655.49	$873.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $727.79 / $1,551.57 / $2,163.69	Professional		$727.79	$1,551.57	$2,163.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,481.61 / $3,481.61 / $3,481.61	Facility		$3,481.61	$3,481.61	$3,481.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $3,036.20 / $4,046.97	Professional		$540.82	$3,036.20	$4,046.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,526.53 / $2,526.53 / $2,692.81	Professional		$2,526.53	$2,526.53	$2,692.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,980.01 / $5,356.75 / $5,709.30	Professional		$2,980.01	$5,356.75	$5,709.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $577.79 / $1,209.43 / $1,976.36	Professional		$577.79	$1,209.43	$1,976.36