Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.27 / $1,874.88 / $6,461.00	Facility		$401.27	$1,874.88	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.14 / $864.86 / $2,247.02	Professional		$345.14	$864.86	$2,247.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.98 / $1,767.11 / $7,079.67	Professional		$562.98	$1,767.11	$7,079.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,859.50 / $4,510.13 / $7,274.68	Facility		$3,859.50	$4,510.13	$7,274.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.22 / $1,585.87 / $5,057.85	Professional		$601.22	$1,585.87	$5,057.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $315.00 / $676.43 / $2,477.44	Facility		$315.00	$676.43	$2,477.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $349.15 / $2,247.02 / $11,598.00	Facility		$349.15	$2,247.02	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,552.80 / $4,334.54 / $8,434.75	Professional		$1,552.80	$4,334.54	$8,434.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.43 / $1,074.45 / $2,911.24	Professional		$106.43	$1,074.45	$2,911.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $315.00 / $676.43 / $2,477.44	Facility		$315.00	$676.43	$2,477.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $771.54 / $1,489.16 / $4,701.38	Professional		$771.54	$1,489.16	$4,701.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,915.85 / $1,915.85 / $1,915.85	Facility		$1,915.85	$1,915.85	$1,915.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $612.45 / $5,405.63 / $10,472.16	Professional		$612.45	$5,405.63	$10,472.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,646.63 / $1,646.63 / $7,997.84	Professional		$1,646.63	$1,646.63	$7,997.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,748.21 / $5,187.59 / $9,973.84	Professional		$1,748.21	$5,187.59	$9,973.84
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 $1,552.80 / $4,334.54 / $6,594.80	Professional		$1,552.80	$4,334.54	$6,594.80