Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.09 / $2,714.42 / $14,482.00	Facility		$976.09	$2,714.42	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $976.09 / $1,051.61 / $1,507.53	Professional		$976.09	$1,051.61	$1,507.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,082.00 / $18,141.00	Facility		$6,538.00	$10,082.00	$18,141.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,064.91 / $2,071.71 / $6,155.37	Professional		$1,064.91	$2,071.71	$6,155.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,390.91 / $3,962.55 / $6,078.66	Facility		$3,390.91	$3,962.55	$6,078.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,313.69 / $2,723.26 / $5,811.73	Professional		$1,313.69	$2,723.26	$5,811.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $976.09 / $1,568.33 / $4,254.68	Facility		$976.09	$1,568.33	$4,254.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,103.38 / $3,364.00 / $7,700.00	Facility		$1,103.38	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,159.96 / $1,965.74 / $5,410.13	Professional		$1,159.96	$1,965.74	$5,410.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $864.17 / $1,473.67 / $3,378.78	Professional		$864.17	$1,473.67	$3,378.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $976.09 / $1,568.33 / $4,254.68	Facility		$976.09	$1,568.33	$4,254.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,178.76 / $3,397.58 / $5,002.32	Professional		$2,178.76	$3,397.58	$5,002.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,470.58 / $19,883.52 / $19,883.52	Facility		$2,470.58	$19,883.52	$19,883.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,161.76 / $4,883.24 / $10,159.68	Professional		$2,161.76	$4,883.24	$10,159.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,756.29 / $3,756.29 / $3,756.29	Professional		$3,756.29	$3,756.29	$3,756.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,658.24 / $7,658.24 / $7,658.24	Professional		$7,658.24	$7,658.24	$7,658.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,100.97 / $1,942.81 / $4,691.68	Professional		$1,100.97	$1,942.81	$4,691.68