Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.74 / $1,962.10 / $14,482.00	Facility		$58.74	$1,962.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.74 / $1,000.00 / $3,233.13	Professional		$58.74	$1,000.00	$3,233.13
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 $140.06 / $552.21 / $8,377.68	Professional		$140.06	$552.21	$8,377.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,531.79 / $9,970.09 / $15,294.37	Facility		$8,531.79	$9,970.09	$15,294.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.22 / $278.88 / $9,168.53	Professional		$106.22	$278.88	$9,168.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $90.94 / $287.58 / $15,056.37	Facility		$90.94	$287.58	$15,056.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.53 / $1,455.00 / $15,030.51	Facility		$94.53	$1,455.00	$15,030.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,632.79 / $3,234.03 / $8,584.53	Professional		$1,632.79	$3,234.03	$8,584.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,137.93 / $5,102.20 / $11,056.99	Professional		$3,137.93	$5,102.20	$11,056.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $90.94 / $287.58 / $15,056.37	Facility		$90.94	$287.58	$15,056.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.93 / $3,125.43 / $9,399.76	Professional		$204.93	$3,125.43	$9,399.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $184.01 / $245.93 / $425.37	Facility		$184.01	$245.93	$425.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $403.38 / $13,262.09 / $22,738.24	Professional		$403.38	$13,262.09	$22,738.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $181.04 / $181.04 / $3,266.67	Professional		$181.04	$181.04	$3,266.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $408.10 / $408.10 / $13,416.71	Professional		$408.10	$408.10	$13,416.71
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 $1,908.23 / $3,917.64 / $7,820.70	Professional		$1,908.23	$3,917.64	$7,820.70