Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.99 / $1,897.58 / $5,056.41	Facility		$338.99	$1,897.58	$5,056.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.49 / $1,285.36 / $2,271.86	Professional		$288.49	$1,285.36	$2,271.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.95 / $1,790.55 / $7,629.98	Professional		$505.95	$1,790.55	$7,629.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,854.09 / $4,503.81 / $7,264.48	Facility		$3,854.09	$4,503.81	$7,264.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.77 / $1,246.03 / $5,623.33	Professional		$502.77	$1,246.03	$5,623.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $292.87 / $570.57 / $2,711.04	Facility		$292.87	$570.57	$2,711.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $312.39 / $3,090.55 / $11,598.00	Facility		$312.39	$3,090.55	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,892.40 / $5,328.78 / $9,099.04	Professional		$1,892.40	$5,328.78	$9,099.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,293.18 / $3,479.62	Professional		$85.00	$1,293.18	$3,479.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $292.87 / $570.57 / $2,711.04	Facility		$292.87	$570.57	$2,711.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $637.55 / $1,479.45 / $4,670.72	Professional		$637.55	$1,479.45	$4,670.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,539.04 / $2,539.04 / $2,539.04	Facility		$2,539.04	$2,539.04	$2,539.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $511.92 / $5,328.78 / $13,450.38	Professional		$511.92	$5,328.78	$13,450.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,384.80 / $1,384.80 / $8,022.52	Professional		$1,384.80	$1,384.80	$8,022.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,622.54 / $7,078.52 / $9,961.54	Professional		$1,622.54	$7,078.52	$9,961.54
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,882.00 / $12,631.00	Facility		$6,241.00	$9,882.00	$12,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,823.45 / $5,616.33 / $7,945.42	Professional		$1,823.45	$5,616.33	$7,945.42