Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $940.96 / $2,110.92 / $14,482.00	Facility		$940.96	$2,110.92	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.96 / $1,069.76 / $3,987.31	Professional		$940.96	$1,069.76	$3,987.31
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 $991.67 / $2,105.87 / $5,516.37	Professional		$991.67	$2,105.87	$5,516.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,646.59 / $3,092.75 / $4,744.35	Facility		$2,646.59	$3,092.75	$4,744.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,522.40 / $3,962.16 / $4,502.45	Professional		$1,522.40	$3,962.16	$4,502.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $940.96 / $1,388.34 / $2,110.92	Facility		$940.96	$1,388.34	$2,110.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $940.96 / $1,520.46 / $7,891.00	Facility		$940.96	$1,520.46	$7,891.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $975.50 / $1,917.14 / $7,801.12	Professional		$975.50	$1,917.14	$7,801.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $666.54 / $2,167.02	Professional		$112.28	$666.54	$2,167.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $940.96 / $1,317.34 / $2,110.92	Facility		$940.96	$1,317.34	$2,110.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,191.15 / $2,669.83 / $3,985.53	Professional		$2,191.15	$2,669.83	$3,985.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,900.50 / $1,900.50 / $6,344.95	Facility		$1,900.50	$1,900.50	$6,344.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,990.57 / $4,899.75 / $7,801.12	Professional		$1,990.57	$4,899.75	$7,801.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,534.64 / $3,534.64 / $3,534.64	Professional		$3,534.64	$3,534.64	$3,534.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,919.72 / $5,100.68 / $5,932.95	Professional		$2,919.72	$5,100.68	$5,932.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,031.45 / $1,766.26 / $4,294.63	Professional		$1,031.45	$1,766.26	$4,294.63