Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $971.48 / $2,042.93 / $14,482.00	Facility		$971.48	$2,042.93	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.19 / $1,010.04 / $4,604.47	Professional		$934.19	$1,010.04	$4,604.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $964.15 / $2,241.88 / $5,725.21	Professional		$964.15	$2,241.88	$5,725.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,575.40 / $3,009.56 / $4,616.74	Facility		$2,575.40	$3,009.56	$4,616.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,454.69 / $3,960.32 / $4,500.35	Professional		$1,454.69	$3,960.32	$4,500.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $971.48 / $1,281.90 / $2,146.96	Facility		$971.48	$1,281.90	$2,146.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $971.48 / $2,042.61 / $8,103.00	Facility		$971.48	$2,042.61	$8,103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,063.84 / $1,934.28 / $7,421.44	Professional		$1,063.84	$1,934.28	$7,421.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $608.25 / $1,930.00	Professional		$66.47	$608.25	$1,930.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $971.48 / $1,281.90 / $2,146.96	Facility		$971.48	$1,281.90	$2,146.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,992.25 / $2,427.48 / $3,623.75	Professional		$1,992.25	$2,427.48	$3,623.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,069.98 / $7,069.98 / $7,069.98	Facility		$7,069.98	$7,069.98	$7,069.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,797.28 / $4,816.39 / $7,421.44	Professional		$1,797.28	$4,816.39	$7,421.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,219.64 / $3,219.64 / $3,219.64	Professional		$3,219.64	$3,219.64	$3,219.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,918.76 / $4,958.00 / $6,302.62	Professional		$2,918.76	$4,958.00	$6,302.62
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,083.49 / $2,087.62 / $4,382.92	Professional		$1,083.49	$2,087.62	$4,382.92