Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.61 / $1,998.02 / $8,243.00	Facility		$166.61	$1,998.02	$8,243.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.61 / $1,080.10 / $3,499.25	Professional		$166.61	$1,080.10	$3,499.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.40 / $2,486.29 / $10,526.01	Professional		$374.40	$2,486.29	$10,526.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,211.42 / $7,258.54 / $11,707.76	Facility		$6,211.42	$7,258.54	$11,707.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.74 / $818.64 / $7,918.85	Professional		$373.74	$818.64	$7,918.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $181.43 / $438.56 / $3,867.57	Facility		$181.43	$438.56	$3,867.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.57 / $3,867.57 / $11,598.00	Facility		$199.57	$3,867.57	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,623.85 / $6,822.00 / $11,595.00	Professional		$2,623.85	$6,822.00	$11,595.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $2,161.55 / $5,674.46	Professional		$85.00	$2,161.55	$5,674.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $181.43 / $438.56 / $3,867.57	Facility		$181.43	$438.56	$3,867.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $481.64 / $2,116.01 / $7,733.42	Professional		$481.64	$2,116.01	$7,733.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $961.64 / $961.64 / $961.64	Facility		$961.64	$961.64	$961.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $381.56 / $6,667.29 / $16,664.48	Professional		$381.56	$6,667.29	$16,664.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $372.17 / $372.17 / $4,638.79	Professional		$372.17	$372.17	$4,638.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $659.09 / $3,636.00 / $9,797.01	Professional		$659.09	$3,636.00	$9,797.01
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,802.00 / $8,187.79 / $10,979.86	Professional		$2,802.00	$8,187.79	$10,979.86