Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $956.80 / $2,119.23 / $14,482.00	Facility		$956.80	$2,119.23	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $956.80 / $1,084.41 / $5,515.45	Professional		$956.80	$1,084.41	$5,515.45
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 $1,010.40 / $2,343.19 / $5,901.04	Professional		$1,010.40	$2,343.19	$5,901.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,681.73 / $3,133.82 / $4,807.35	Facility		$2,681.73	$3,133.82	$4,807.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,555.73 / $3,996.36 / $4,541.31	Professional		$1,555.73	$3,996.36	$4,541.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $952.00 / $1,334.25 / $2,132.48	Facility		$952.00	$1,334.25	$2,132.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $956.80 / $1,523.17 / $13,250.00	Facility		$956.80	$1,523.17	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,140.73 / $2,033.84 / $7,734.40	Professional		$1,140.73	$2,033.84	$7,734.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $641.11 / $2,111.66	Professional		$83.50	$641.11	$2,111.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $952.00 / $1,334.25 / $2,132.48	Facility		$952.00	$1,334.25	$2,132.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,065.05 / $2,516.17 / $3,756.17	Professional		$2,065.05	$2,516.17	$3,756.17
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 $2,007.75 / $5,036.95 / $7,734.40	Professional		$2,007.75	$5,036.95	$7,734.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,601.09 / $3,601.09 / $3,601.09	Professional		$3,601.09	$3,601.09	$3,601.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,705.32 / $5,688.96 / $5,984.19	Professional		$1,705.32	$5,688.96	$5,984.19
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 $1,098.57 / $1,912.43 / $4,533.26	Professional		$1,098.57	$1,912.43	$4,533.26