Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.55 / $1,894.00 / $14,482.00	Facility		$263.55	$1,894.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.31 / $512.66 / $2,990.72	Professional		$234.31	$512.66	$2,990.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.14 / $1,962.45 / $13,827.44	Professional		$349.14	$1,962.45	$13,827.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,438.50 / $7,523.90 / $11,541.85	Facility		$6,438.50	$7,523.90	$11,541.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.60 / $981.10 / $9,764.70	Professional		$377.60	$981.10	$9,764.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $239.07 / $611.00 / $4,153.66	Facility		$239.07	$611.00	$4,153.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $238.74 / $2,194.46 / $4,766.70	Facility		$238.74	$2,194.46	$4,766.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $649.64 / $6,330.32 / $17,262.00	Professional		$649.64	$6,330.32	$17,262.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $3,143.81 / $5,363.56	Professional		$85.00	$3,143.81	$5,363.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $239.07 / $611.00 / $4,153.66	Facility		$239.07	$611.00	$4,153.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $533.96 / $2,398.48 / $7,572.18	Professional		$533.96	$2,398.48	$7,572.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $406.07 / $3,751.74 / $3,751.74	Facility		$406.07	$3,751.74	$3,751.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $459.46 / $8,667.87 / $17,262.00	Professional		$459.46	$8,667.87	$17,262.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $878.33 / $878.33 / $9,403.78	Professional		$878.33	$878.33	$9,403.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,197.92 / $9,403.78 / $11,983.77	Professional		$1,197.92	$9,403.78	$11,983.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $697.54 / $4,748.56 / $12,435.53	Professional		$697.54	$4,748.56	$12,435.53