Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.25 / $3,288.36 / $14,482.00	Facility		$664.25	$3,288.36	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.75 / $2,018.92 / $3,746.08	Professional		$428.75	$2,018.92	$3,746.08
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 $603.91 / $1,310.96 / $3,004.43	Professional		$603.91	$1,310.96	$3,004.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,830.25 / $6,813.10 / $10,989.30	Facility		$5,830.25	$6,813.10	$10,989.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $693.72 / $1,785.96 / $7,739.59	Professional		$693.72	$1,785.96	$7,739.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $1,880.58 / $3,946.03	Facility		$490.00	$1,880.58	$3,946.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $3,746.08 / $13,442.00	Facility		$490.00	$3,746.08	$13,442.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,210.28 / $4,808.18 / $12,970.41	Professional		$2,210.28	$4,808.18	$12,970.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $179.68 / $1,109.84 / $3,289.65	Professional		$179.68	$1,109.84	$3,289.65
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $1,660.63 / $3,946.03	Facility		$490.00	$1,660.63	$3,946.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $964.86 / $2,186.62 / $6,834.01	Professional		$964.86	$2,186.62	$6,834.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,695.33 / $3,695.33 / $3,695.33	Facility		$3,695.33	$3,695.33	$3,695.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $898.33 / $7,841.21 / $15,666.40	Professional		$898.33	$7,841.21	$15,666.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,066.78 / $2,066.78 / $10,574.43	Professional		$2,066.78	$2,066.78	$10,574.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,257.23 / $8,041.26 / $20,803.66	Professional		$2,257.23	$8,041.26	$20,803.66
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 $2,432.73 / $4,230.84 / $10,053.50	Professional		$2,432.73	$4,230.84	$10,053.50