Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.84 / $1,486.86 / $4,033.74	Facility		$386.84	$1,486.86	$4,033.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.44 / $731.35 / $1,961.41	Professional		$332.44	$731.35	$1,961.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $577.37 / $1,554.32 / $5,316.64	Professional		$577.37	$1,554.32	$5,316.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,061.10 / $3,577.14 / $5,769.80	Facility		$3,061.10	$3,577.14	$5,769.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.96 / $1,279.04 / $4,477.16	Professional		$580.96	$1,279.04	$4,477.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $304.50 / $604.02 / $1,963.60	Facility		$304.50	$604.02	$1,963.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $335.33 / $1,785.51 / $15,090.00	Facility		$335.33	$1,785.51	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,055.14 / $3,200.04 / $6,227.09	Professional		$1,055.14	$3,200.04	$6,227.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.38 / $875.61 / $2,347.77	Professional		$84.38	$875.61	$2,347.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $304.50 / $604.02 / $1,963.60	Facility		$304.50	$604.02	$1,963.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $745.36 / $1,323.32 / $3,758.84	Professional		$745.36	$1,323.32	$3,758.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,070.58 / $2,070.58 / $2,070.58	Facility		$2,070.58	$2,070.58	$2,070.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $590.75 / $4,330.89 / $8,338.48	Professional		$590.75	$4,330.89	$8,338.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,588.36 / $1,588.36 / $6,328.37	Professional		$1,588.36	$1,588.36	$6,328.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,686.02 / $3,839.37 / $7,925.14	Professional		$1,686.02	$3,839.37	$7,925.14
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $12,373.00 / $15,090.00	Facility		$7,984.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,131.77 / $3,200.04 / $5,034.96	Professional		$1,131.77	$3,200.04	$5,034.96