Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.15 / $3,224.41 / $9,263.62	Facility		$699.15	$3,224.41	$9,263.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.15 / $1,670.22 / $3,359.09	Professional		$699.15	$1,670.22	$3,359.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,217.02 / $3,093.01 / $7,872.32	Professional		$1,217.02	$3,093.01	$7,872.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,328.08 / $5,057.70 / $8,157.90	Facility		$4,328.08	$5,057.70	$8,157.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,129.76 / $2,456.00 / $5,783.34	Professional		$1,129.76	$2,456.00	$5,783.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $699.15 / $1,576.38 / $3,205.76	Facility		$699.15	$1,576.38	$3,205.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $759.44 / $2,363.81 / $13,250.00	Facility		$759.44	$2,363.81	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,729.95 / $5,684.16 / $12,379.10	Professional		$1,729.95	$5,684.16	$12,379.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $1,291.33 / $3,269.29	Professional		$115.00	$1,291.33	$3,269.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $699.15 / $1,576.38 / $3,205.76	Facility		$699.15	$1,576.38	$3,205.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,592.24 / $2,876.48 / $5,522.52	Professional		$1,592.24	$2,876.48	$5,522.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,857.12 / $4,857.12 / $4,857.12	Facility		$4,857.12	$4,857.12	$4,857.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,059.45 / $6,072.84 / $16,950.43	Professional		$1,059.45	$6,072.84	$16,950.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,287.87 / $4,086.74 / $9,623.32	Professional		$3,287.87	$4,086.74	$9,623.32
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,898.22 / $5,800.45 / $8,128.03	Professional		$1,898.22	$5,800.45	$8,128.03