Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.05 / $3,119.00 / $14,482.00	Facility		$424.05	$3,119.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.07 / $424.05 / $685.79	Professional		$170.07	$424.05	$685.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.44 / $1,736.65 / $4,258.80	Professional		$613.44	$1,736.65	$4,258.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,713.93 / $2,002.86 / $3,230.55	Facility		$1,713.93	$2,002.86	$3,230.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.26 / $1,292.98 / $3,102.04	Professional		$240.26	$1,292.98	$3,102.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $424.05 / $613.08 / $1,292.56	Facility		$424.05	$613.08	$1,292.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $601.19 / $5,515.40 / $8,783.00	Facility		$601.19	$5,515.40	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $725.57 / $2,013.04 / $3,673.64	Professional		$725.57	$2,013.04	$3,673.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $424.05 / $613.08 / $1,292.56	Facility		$424.05	$613.08	$1,292.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.24 / $547.02 / $1,280.02	Professional		$234.24	$547.02	$1,280.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $9,388.90 / $9,388.90	Facility		$9,388.90	$9,388.90	$9,388.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $526.63 / $1,475.10 / $3,914.08	Professional		$526.63	$1,475.10	$3,914.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $186.20 / $186.20 / $186.20	Professional		$186.20	$186.20	$186.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $212.47 / $212.47 / $212.47	Professional		$212.47	$212.47	$212.47
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 $617.29 / $1,577.31 / $2,685.95	Professional		$617.29	$1,577.31	$2,685.95