Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.39 / $1,873.59 / $9,245.00	Facility		$379.39	$1,873.59	$9,245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.44 / $1,384.63 / $2,217.69	Professional		$317.44	$1,384.63	$2,217.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,908.00 / $15,579.70	Facility		$6,538.00	$10,908.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.81 / $1,987.63 / $7,972.88	Professional		$659.81	$1,987.63	$7,972.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,521.82 / $5,284.10 / $8,523.07	Facility		$4,521.82	$5,284.10	$8,523.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.95 / $1,706.53 / $5,664.93	Professional		$558.95	$1,706.53	$5,664.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $367.91 / $692.68 / $2,508.71	Facility		$367.91	$692.68	$2,508.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $379.39 / $2,508.71 / $13,250.00	Facility		$379.39	$2,508.71	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,048.82 / $5,982.43 / $8,503.46	Professional		$2,048.82	$5,982.43	$8,503.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.96 / $1,243.54 / $3,315.21	Professional		$143.96	$1,243.54	$3,315.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $367.91 / $692.68 / $2,508.71	Facility		$367.91	$692.68	$2,508.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $806.81 / $1,542.77 / $5,638.39	Professional		$806.81	$1,542.77	$5,638.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,697.74 / $2,697.74 / $2,697.74	Facility		$2,697.74	$2,697.74	$2,697.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $589.66 / $5,187.14 / $14,199.49	Professional		$589.66	$5,187.14	$14,199.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $869.62 / $869.62 / $4,397.64	Professional		$869.62	$869.62	$4,397.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $912.98 / $1,877.85 / $9,106.86	Professional		$912.98	$1,877.85	$9,106.86
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,048.82 / $5,996.03 / $7,762.55	Professional		$2,048.82	$5,996.03	$7,762.55