Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.52 / $1,474.11 / $6,461.00	Facility		$396.52	$1,474.11	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.08 / $986.84 / $1,771.13	Professional		$341.08	$986.84	$1,771.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $583.51 / $1,592.40 / $5,965.19	Professional		$583.51	$1,592.40	$5,965.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,033.17 / $3,544.50 / $5,717.15	Facility		$3,033.17	$3,544.50	$5,717.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $595.34 / $1,485.78 / $4,284.56	Professional		$595.34	$1,485.78	$4,284.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $315.00 / $646.76 / $1,947.11	Facility		$315.00	$646.76	$1,947.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $330.13 / $1,771.13 / $15,090.00	Facility		$330.13	$1,771.13	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,239.76 / $4,035.87 / $7,171.19	Professional		$1,239.76	$4,035.87	$7,171.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.43 / $890.46 / $2,355.32	Professional		$106.43	$890.46	$2,355.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $315.00 / $646.76 / $1,947.11	Facility		$315.00	$646.76	$1,947.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $763.84 / $1,360.24 / $3,730.45	Professional		$763.84	$1,360.24	$3,730.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,057.07 / $2,057.07 / $2,057.07	Facility		$2,057.07	$2,057.07	$2,057.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $605.22 / $4,766.85 / $8,270.64	Professional		$605.22	$4,766.85	$8,270.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,629.37 / $1,629.37 / $6,272.05	Professional		$1,629.37	$1,629.37	$6,272.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,865.49 / $5,224.35 / $7,856.76	Professional		$1,865.49	$5,224.35	$7,856.76
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 $1,248.18 / $4,035.87 / $5,980.42	Professional		$1,248.18	$4,035.87	$5,980.42