Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $913.69 / $2,030.22 / $14,482.00	Facility		$913.69	$2,030.22	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $913.69 / $1,031.43 / $3,834.86	Professional		$913.69	$1,031.43	$3,834.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $969.48 / $2,237.60 / $5,653.01	Professional		$969.48	$2,237.60	$5,653.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,560.98 / $2,992.71 / $4,590.89	Facility		$2,560.98	$2,992.71	$4,590.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,503.36 / $3,816.42 / $4,336.84	Professional		$1,503.36	$3,816.42	$4,336.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $913.69 / $1,279.17 / $2,047.56	Facility		$913.69	$1,279.17	$2,047.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $913.69 / $1,454.03 / $13,250.00	Facility		$913.69	$1,454.03	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,090.55 / $1,947.08 / $7,389.44	Professional		$1,090.55	$1,947.08	$7,389.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $613.32 / $2,000.53	Professional		$83.50	$613.32	$2,000.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $913.69 / $1,279.17 / $2,047.56	Facility		$913.69	$1,279.17	$2,047.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,992.25 / $2,427.48 / $3,623.75	Professional		$1,992.25	$2,427.48	$3,623.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,348.38 / $6,348.38 / $17,524.30	Facility		$6,348.38	$6,348.38	$17,524.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,917.34 / $4,827.39 / $7,389.44	Professional		$1,917.34	$4,827.39	$7,389.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,449.71 / $3,449.71 / $3,449.71	Professional		$3,449.71	$3,449.71	$3,449.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,705.32 / $5,475.14 / $5,714.70	Professional		$1,705.32	$5,475.14	$5,714.70
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 $1,042.90 / $1,867.74 / $4,344.66	Professional		$1,042.90	$1,867.74	$4,344.66