Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.13 / $1,190.97 / $10,471.00	Facility		$270.13	$1,190.97	$10,471.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.13 / $756.06 / $1,669.10	Professional		$270.13	$756.06	$1,669.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.03 / $1,396.17 / $3,969.93	Professional		$607.03	$1,396.17	$3,969.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,364.54 / $2,763.15 / $4,456.85	Facility		$2,364.54	$2,763.15	$4,456.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.82 / $1,345.77 / $3,088.91	Professional		$611.82	$1,345.77	$3,088.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $287.87 / $653.69 / $1,351.42	Facility		$287.87	$653.69	$1,351.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $326.70 / $1,351.42 / $16,674.99	Facility		$326.70	$1,351.42	$16,674.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,161.33 / $3,104.75 / $4,698.96	Professional		$1,161.33	$3,104.75	$4,698.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $926.79 / $2,115.55	Professional		$85.00	$926.79	$2,115.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $287.87 / $653.69 / $1,351.42	Facility		$287.87	$653.69	$1,351.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $736.58 / $1,334.51 / $2,889.19	Professional		$736.58	$1,334.51	$2,889.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,576.52 / $1,576.52 / $1,576.52	Facility		$1,576.52	$1,576.52	$1,576.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $617.78 / $3,309.99 / $10,075.35	Professional		$617.78	$3,309.99	$10,075.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $592.15 / $592.15 / $1,690.97	Professional		$592.15	$592.15	$1,690.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.56 / $1,513.20 / $3,772.65	Professional		$1,105.56	$1,513.20	$3,772.65
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,031.52 / $2,619.44 / $4,067.10	Professional		$1,031.52	$2,619.44	$4,067.10