Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.95 / $2,358.25 / $14,482.00	Facility		$960.95	$2,358.25	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.95 / $1,006.95 / $3,721.71	Professional		$960.95	$1,006.95	$3,721.71
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 $1,047.10 / $2,423.17 / $5,118.76	Professional		$1,047.10	$2,423.17	$5,118.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,982.71 / $3,485.53 / $5,346.89	Facility		$2,982.71	$3,485.53	$5,346.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,131.50 / $2,272.57 / $3,324.16	Professional		$1,131.50	$2,272.57	$3,324.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,048.10 / $1,465.95 / $3,307.41	Facility		$1,048.10	$1,465.95	$3,307.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,124.31 / $3,144.33 / $11,598.00	Facility		$1,124.31	$3,144.33	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,051.42 / $1,784.73 / $4,996.60	Professional		$1,051.42	$1,784.73	$4,996.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $679.27 / $2,064.01	Professional		$125.50	$679.27	$2,064.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,048.10 / $1,465.95 / $3,307.41	Facility		$1,048.10	$1,465.95	$3,307.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,186.85 / $2,803.90 / $3,979.14	Professional		$2,186.85	$2,803.90	$3,979.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,529.08 / $11,102.00 / $11,102.00	Facility		$7,529.08	$11,102.00	$11,102.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,324.97 / $4,808.34 / $8,517.52	Professional		$1,324.97	$4,808.34	$8,517.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,114.82 / $2,114.82 / $2,114.82	Professional		$2,114.82	$2,114.82	$2,114.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,983.38 / $3,815.54 / $4,864.39	Professional		$1,983.38	$3,815.54	$4,864.39
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 $1,032.25 / $1,779.25 / $4,581.14	Professional		$1,032.25	$1,779.25	$4,581.14