Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $948.92 / $2,454.50 / $6,461.00	Facility		$948.92	$2,454.50	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.50 / $1,112.72 / $3,707.22	Professional		$812.50	$1,112.72	$3,707.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,118.73 / $2,812.92 / $6,710.46	Professional		$1,118.73	$2,812.92	$6,710.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,152.12 / $3,683.50 / $5,941.35	Facility		$3,152.12	$3,683.50	$5,941.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.27 / $3,106.36 / $4,924.18	Professional		$1,291.27	$3,106.36	$4,924.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $904.82 / $1,309.07 / $2,007.67	Facility		$904.82	$1,309.07	$2,007.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $913.18 / $1,693.86 / $8,384.00	Facility		$913.18	$1,693.86	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,270.32 / $3,763.80 / $7,073.87	Professional		$1,270.32	$3,763.80	$7,073.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $1,090.89 / $2,622.68	Professional		$91.28	$1,090.89	$2,622.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $904.82 / $1,309.07 / $2,007.67	Facility		$904.82	$1,309.07	$2,007.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,954.26 / $2,854.67 / $4,278.74	Professional		$1,954.26	$2,854.67	$4,278.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,095.10 / $6,095.10 / $6,095.10	Facility		$6,095.10	$6,095.10	$6,095.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,195.70 / $5,037.53 / $8,857.04	Professional		$1,195.70	$5,037.53	$8,857.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,125.16 / $3,125.16 / $4,378.51	Professional		$3,125.16	$3,125.16	$4,378.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,034.01 / $4,310.07 / $6,012.44	Professional		$3,034.01	$4,310.07	$6,012.44
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,169.23 / $3,280.18 / $5,831.82	Professional		$1,169.23	$3,280.18	$5,831.82