Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.13 / $3,189.80 / $13,367.00	Facility		$203.13	$3,189.80	$13,367.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.81 / $2,521.42 / $3,680.49	Professional		$150.81	$2,521.42	$3,680.49
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 $162.34 / $442.53 / $975.38	Professional		$162.34	$442.53	$975.38
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $243.51 / $701.84 / $1,463.07	Professional	50	$243.51	$701.84	$1,463.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,892.67 / $8,054.63 / $12,991.83	Facility		$6,892.67	$8,054.63	$12,991.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.72 / $2,805.89 / $8,876.56	Professional		$306.72	$2,805.89	$8,876.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $184.03 / $337.81 / $4,127.18	Facility		$184.03	$337.81	$4,127.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $196.30 / $4,635.00 / $15,126.00	Facility		$196.30	$4,635.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,723.53 / $6,861.67 / $17,789.34	Professional		$2,723.53	$6,861.67	$17,789.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $2,347.87 / $5,646.72	Professional		$85.00	$2,347.87	$5,646.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $184.03 / $337.81 / $4,127.18	Facility		$184.03	$337.81	$4,127.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $372.62 / $2,307.53 / $8,100.23	Professional		$372.62	$2,307.53	$8,100.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,183.44 / $1,183.44 / $1,183.44	Facility		$1,183.44	$1,183.44	$1,183.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $233.73 / $1,254.00 / $18,421.36	Professional		$233.73	$1,254.00	$18,421.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,002.95 / $7,030.23 / $15,244.65	Professional		$1,002.95	$7,030.23	$15,244.65
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 $3,120.25 / $9,234.46 / $13,631.85	Professional		$3,120.25	$9,234.46	$13,631.85