Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.69 / $864.69 / $17,823.00	Facility		$864.69	$864.69	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.63 / $827.20 / $1,022.29	Professional		$491.63	$827.20	$1,022.29
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 $722.55 / $1,568.98 / $4,542.35	Professional		$722.55	$1,568.98	$4,542.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,771.19 / $4,406.93 / $6,760.34	Facility		$3,771.19	$4,406.93	$6,760.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,134.00 / $5,062.95 / $6,060.95	Professional		$1,134.00	$5,062.95	$6,060.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $682.03 / $1,022.29 / $2,480.17	Facility		$682.03	$1,022.29	$2,480.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $738.78 / $1,377.88 / $5,728.00	Facility		$738.78	$1,377.88	$5,728.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,032.72 / $2,644.46 / $5,998.96	Professional		$1,032.72	$2,644.46	$5,998.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $3,938.88	Professional		$50.00	$85.00	$3,938.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $682.03 / $1,023.36 / $2,658.45	Facility		$682.03	$1,023.36	$2,658.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,141.98 / $2,095.84 / $3,017.29	Professional		$1,141.98	$2,095.84	$3,017.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $902.24 / $7,464.08 / $7,464.08	Facility		$902.24	$7,464.08	$7,464.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,436.82 / $4,208.25 / $5,864.80	Professional		$1,436.82	$4,208.25	$5,864.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,292.25 / $5,292.25 / $5,292.25	Professional		$5,292.25	$5,292.25	$5,292.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,523.22 / $7,523.22 / $7,523.22	Professional		$7,523.22	$7,523.22	$7,523.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $828.59 / $2,481.75 / $6,068.76	Professional		$828.59	$2,481.75	$6,068.76