Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.69 / $1,624.69 / $6,461.00	Facility		$398.69	$1,624.69	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.16 / $1,220.24 / $1,958.31	Professional		$337.16	$1,220.24	$1,958.31
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 $595.05 / $1,816.05 / $6,368.53	Professional		$595.05	$1,816.05	$6,368.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,353.07 / $3,918.32 / $6,320.12	Facility		$3,353.07	$3,918.32	$6,320.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.67 / $1,980.23 / $4,419.43	Professional		$640.67	$1,980.23	$4,419.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $344.14 / $724.18 / $2,379.62	Facility		$344.14	$724.18	$2,379.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $367.85 / $2,515.48 / $11,598.00	Facility		$367.85	$2,515.48	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,596.97 / $4,580.74 / $7,261.86	Professional		$1,596.97	$4,580.74	$7,261.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,172.69 / $3,062.91	Professional		$85.00	$1,172.69	$3,062.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $344.14 / $724.18 / $2,379.62	Facility		$344.14	$724.18	$2,379.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $776.93 / $1,452.27 / $4,154.02	Professional		$776.93	$1,452.27	$4,154.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,307.67 / $2,307.67 / $2,307.67	Facility		$2,307.67	$2,307.67	$2,307.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $558.32 / $4,216.49 / $9,202.71	Professional		$558.32	$4,216.49	$9,202.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,645.98 / $1,645.98 / $6,851.11	Professional		$1,645.98	$1,645.98	$6,851.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,038.68 / $6,751.71 / $8,714.81	Professional		$2,038.68	$6,751.71	$8,714.81
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 $1,497.28 / $4,279.31 / $6,582.77	Professional		$1,497.28	$4,279.31	$6,582.77