Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.79 / $1,863.48 / $6,461.00	Facility		$494.79	$1,863.48	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.93 / $1,475.86 / $2,354.15	Professional		$416.93	$1,475.86	$2,354.15
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 $860.50 / $2,398.71 / $7,906.37	Professional		$860.50	$2,398.71	$7,906.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,495.68 / $5,253.57 / $8,473.82	Facility		$4,495.68	$5,253.57	$8,473.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $738.50 / $1,881.87 / $5,919.71	Professional		$738.50	$1,881.87	$5,919.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $483.13 / $1,592.16 / $3,293.43	Facility		$483.13	$1,592.16	$3,293.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $494.79 / $2,927.76 / $13,250.00	Facility		$494.79	$2,927.76	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,033.84 / $5,642.45 / $8,461.11	Professional		$2,033.84	$5,642.45	$8,461.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.91 / $1,233.01 / $3,206.43	Professional		$172.91	$1,233.01	$3,206.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $483.13 / $1,592.16 / $3,293.43	Facility		$483.13	$1,592.16	$3,293.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,051.06 / $1,895.12 / $5,581.64	Professional		$1,051.06	$1,895.12	$5,581.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,916.79 / $2,916.79 / $2,916.79	Facility		$2,916.79	$2,916.79	$2,916.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $772.95 / $5,143.89 / $12,212.32	Professional		$772.95	$5,143.89	$12,212.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,128.72 / $1,128.72 / $4,369.20	Professional		$1,128.72	$1,128.72	$4,369.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,828.14 / $2,461.57 / $9,066.37	Professional		$1,828.14	$2,461.57	$9,066.37
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 $1,966.00 / $4,781.14 / $8,156.83	Professional		$1,966.00	$4,781.14	$8,156.83