Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.40 / $2,499.29 / $8,413.82	Facility		$224.40	$2,499.29	$8,413.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.40 / $1,176.38 / $3,492.65	Professional		$224.40	$1,176.38	$3,492.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.56 / $1,814.98 / $11,174.56	Professional		$415.56	$1,814.98	$11,174.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,506.99 / $7,603.93 / $12,264.87	Facility		$6,506.99	$7,603.93	$12,264.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.02 / $2,388.42 / $8,563.93	Professional		$367.02	$2,388.42	$8,563.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $224.40 / $453.52 / $3,492.65	Facility		$224.40	$453.52	$3,492.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $244.85 / $2,924.17 / $5,801.00	Facility		$244.85	$2,924.17	$5,801.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,023.23 / $5,137.43 / $11,320.27	Professional		$2,023.23	$5,137.43	$11,320.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.63 / $1,425.16 / $4,509.31	Professional		$140.63	$1,425.16	$4,509.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $224.40 / $453.52 / $3,492.65	Facility		$224.40	$453.52	$3,492.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $514.46 / $2,197.54 / $7,636.69	Professional		$514.46	$2,197.54	$7,636.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,788.21 / $3,788.21 / $3,788.21	Facility		$3,788.21	$3,788.21	$3,788.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.68 / $4,507.92 / $17,432.16	Professional		$309.68	$4,507.92	$17,432.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,130.98 / $1,130.98 / $13,089.29	Professional		$1,130.98	$1,130.98	$13,089.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,314.04 / $7,023.65 / $14,250.20	Professional		$1,314.04	$7,023.65	$14,250.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,088.06 / $5,291.39 / $10,648.51	Professional		$2,088.06	$5,291.39	$10,648.51