Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.17 / $1,581.18 / $6,461.00	Facility		$462.17	$1,581.18	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.50 / $771.49 / $2,075.35	Professional		$327.50	$771.49	$2,075.35
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 $671.56 / $1,828.97 / $6,161.89	Professional		$671.56	$1,828.97	$6,161.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,250.34 / $3,798.28 / $6,126.49	Facility		$3,250.34	$3,798.28	$6,126.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.55 / $1,438.84 / $4,761.66	Professional		$718.55	$1,438.84	$4,761.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $357.00 / $735.23 / $2,100.66	Facility		$357.00	$735.23	$2,100.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $401.46 / $1,902.67 / $11,598.00	Facility		$401.46	$1,902.67	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,464.04 / $3,817.86 / $7,429.33	Professional		$1,464.04	$3,817.86	$7,429.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.44 / $943.90 / $2,543.28	Professional		$105.44	$943.90	$2,543.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $357.00 / $735.23 / $2,100.66	Facility		$357.00	$735.23	$2,100.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $889.35 / $1,587.03 / $4,016.62	Professional		$889.35	$1,587.03	$4,016.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,223.77 / $2,223.77 / $2,223.77	Facility		$2,223.77	$2,223.77	$2,223.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $703.98 / $5,115.92 / $8,889.68	Professional		$703.98	$5,115.92	$8,889.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,895.93 / $1,895.93 / $6,719.00	Professional		$1,895.93	$1,895.93	$6,719.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,729.50 / $2,534.65 / $8,432.06	Professional		$1,729.50	$2,534.65	$8,432.06
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 $1,291.85 / $3,584.32 / $6,039.69	Professional		$1,291.85	$3,584.32	$6,039.69