Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.09 / $1,493.57 / $6,461.00	Facility		$346.09	$1,493.57	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.30 / $839.38 / $1,789.44	Professional		$297.30	$839.38	$1,789.44
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 $496.74 / $1,471.25 / $5,748.78	Professional		$496.74	$1,471.25	$5,748.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,043.08 / $3,556.08 / $5,735.83	Facility		$3,043.08	$3,556.08	$5,735.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.21 / $1,456.59 / $4,650.70	Professional		$552.21	$1,456.59	$4,650.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $293.44 / $587.21 / $1,959.21	Facility		$293.44	$587.21	$1,959.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $320.11 / $1,789.44 / $11,598.00	Facility		$320.11	$1,789.44	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,236.13 / $3,722.71 / $6,289.36	Professional		$1,236.13	$3,722.71	$6,289.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.38 / $1,014.87 / $2,800.44	Professional		$84.38	$1,014.87	$2,800.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $293.44 / $587.21 / $1,959.21	Facility		$293.44	$587.21	$1,959.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $706.09 / $1,399.23 / $4,417.47	Professional		$706.09	$1,399.23	$4,417.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,415.62 / $2,415.62 / $2,415.62	Facility		$2,415.62	$2,415.62	$2,415.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $525.30 / $4,579.00 / $8,744.07	Professional		$525.30	$4,579.00	$8,744.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,425.70 / $1,425.70 / $6,365.53	Professional		$1,425.70	$1,425.70	$6,365.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,354.07 / $1,891.33 / $7,866.78	Professional		$1,354.07	$1,891.33	$7,866.78
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,280.02 / $3,389.43 / $5,459.18	Professional		$1,280.02	$3,389.43	$5,459.18