Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.72 / $1,884.44 / $6,461.00	Facility		$770.72	$1,884.44	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $770.72 / $1,216.25 / $2,899.24	Professional		$770.72	$1,216.25	$2,899.24
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 $1,342.26 / $2,650.37 / $5,792.11	Professional		$1,342.26	$2,650.37	$5,792.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,809.03 / $4,451.16 / $6,828.19	Facility		$3,809.03	$4,451.16	$6,828.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,038.53 / $1,934.17 / $4,187.78	Professional		$1,038.53	$1,934.17	$4,187.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $895.68 / $1,675.06 / $3,849.39	Facility		$895.68	$1,675.06	$3,849.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $968.56 / $2,493.27 / $10,843.00	Facility		$968.56	$2,493.27	$10,843.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,514.94 / $2,895.15 / $6,823.92	Professional		$1,514.94	$2,895.15	$6,823.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.56 / $806.33 / $2,448.79	Professional		$123.56	$806.33	$2,448.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $895.68 / $1,675.06 / $3,849.39	Facility		$895.68	$1,675.06	$3,849.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,020.77 / $3,025.44 / $4,622.20	Professional		$2,020.77	$3,025.44	$4,622.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,767.19 / $2,361.83 / $6,432.12	Facility		$1,767.19	$2,361.83	$6,432.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,172.16 / $3,867.12 / $10,575.60	Professional		$1,172.16	$3,867.12	$10,575.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,912.19 / $3,912.19 / $6,128.17	Professional		$3,912.19	$3,912.19	$6,128.17
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 $1,359.20 / $2,346.81 / $6,042.48	Professional		$1,359.20	$2,346.81	$6,042.48