Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $820.62 / $6,461.00 / $14,482.00	Facility		$820.62	$6,461.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.97 / $2,492.17 / $9,251.53	Professional		$643.97	$2,492.17	$9,251.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $16,493.00 / $23,358.00	Facility		$12,080.00	$16,493.00	$23,358.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,041.08 / $6,742.15 / $33,079.82	Professional		$1,041.08	$6,742.15	$33,079.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,600.68 / $20,567.78 / $33,175.10	Facility		$17,600.68	$20,567.78	$33,175.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,199.83 / $4,296.42 / $23,207.36	Professional		$1,199.83	$4,296.42	$23,207.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $703.79 / $1,362.08 / $12,307.68	Facility		$703.79	$1,362.08	$12,307.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $750.71 / $10,231.48 / $19,754.00	Facility		$750.71	$10,231.48	$19,754.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7,915.46 / $22,298.81 / $36,947.51	Professional		$7,915.46	$22,298.81	$36,947.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $5,841.90 / $15,954.71	Professional		$85.00	$5,841.90	$15,954.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $703.79 / $1,362.08 / $12,307.68	Facility		$703.79	$1,362.08	$12,307.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,485.33 / $6,664.16 / $21,039.26	Professional		$1,485.33	$6,664.16	$21,039.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,274.18 / $11,274.18 / $11,274.18	Facility		$11,274.18	$11,274.18	$11,274.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,138.30 / $22,531.73 / $47,240.24	Professional		$1,138.30	$22,531.73	$47,240.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,798.47 / $28,414.86 / $45,267.14	Professional		$3,798.47	$28,414.86	$45,267.14
United Facility/Professional Facility Modifier Low / Median / High Price $8,452.00 / $14,249.00 / $19,562.00	Facility		$8,452.00	$14,249.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $7,915.46 / $20,825.80 / $32,263.10	Professional		$7,915.46	$20,825.80	$32,263.10