Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.01 / $1,971.65 / $14,482.00	Facility		$35.01	$1,971.65	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.01 / $242.78 / $4,714.47	Professional		$35.01	$242.78	$4,714.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $335.21 / $8,491.12	Professional		$83.49	$335.21	$8,491.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,575.06 / $10,020.62 / $15,371.91	Facility		$8,575.06	$10,020.62	$15,371.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.88 / $2,422.00 / $9,209.34	Professional		$76.88	$2,422.00	$9,209.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.48 / $173.73 / $16,020.00	Facility		$54.48	$173.73	$16,020.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.73 / $1,455.00 / $15,989.64	Facility		$56.73	$1,455.00	$15,989.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,624.20 / $3,217.51 / $8,545.26	Professional		$1,624.20	$3,217.51	$8,545.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,338.96 / $5,342.34 / $11,769.14	Professional		$3,338.96	$5,342.34	$11,769.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $54.48 / $173.73 / $16,020.00	Facility		$54.48	$173.73	$16,020.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $123.25 / $3,298.09 / $9,919.02	Professional		$123.25	$3,298.09	$9,919.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $110.31 / $147.43 / $255.86	Facility		$110.31	$147.43	$255.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $241.61 / $13,321.13 / $22,830.08	Professional		$241.61	$13,321.13	$22,830.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $109.90 / $109.90 / $3,454.78	Professional		$109.90	$109.90	$3,454.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $244.45 / $244.45 / $13,476.41	Professional		$244.45	$244.45	$13,476.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,975.39 / $3,899.72 / $8,091.92	Professional		$1,975.39	$3,899.72	$8,091.92