Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.78 / $765.78 / $17,823.00	Facility		$765.78	$765.78	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.63 / $743.75 / $905.38	Professional		$491.63	$743.75	$905.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.46 / $1,461.44 / $4,022.37	Professional		$587.46	$1,461.44	$4,022.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,279.18 / $3,831.98 / $5,878.35	Facility		$3,279.18	$3,831.98	$5,878.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.03 / $4,402.14 / $5,270.36	Professional		$981.03	$4,402.14	$5,270.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $638.39 / $905.38 / $2,156.67	Facility		$638.39	$905.38	$2,156.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $656.80 / $1,198.15 / $5,728.00	Facility		$656.80	$1,198.15	$5,728.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $672.54 / $2,299.52 / $5,216.45	Professional		$672.54	$2,299.52	$5,216.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $3,425.10	Professional		$50.00	$70.00	$3,425.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $638.39 / $907.34 / $2,311.71	Facility		$638.39	$907.34	$2,311.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $974.36 / $1,788.21 / $2,574.41	Professional		$974.36	$1,788.21	$2,574.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $843.30 / $6,609.44 / $6,609.44	Facility		$843.30	$6,609.44	$6,609.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,226.28 / $3,936.75 / $5,193.35	Professional		$1,226.28	$3,936.75	$5,193.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,601.93 / $4,601.93 / $4,601.93	Professional		$4,601.93	$4,601.93	$4,601.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,541.90 / $6,541.90 / $6,541.90	Professional		$6,541.90	$6,541.90	$6,541.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $640.51 / $2,294.76 / $5,284.92	Professional		$640.51	$2,294.76	$5,284.92