Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.55 / $8,180.39 / $16,259.61	Facility		$168.55	$8,180.39	$16,259.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.66 / $330.00 / $7,376.18	Professional		$80.66	$330.00	$7,376.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.86 / $5,032.33 / $23,041.72	Professional		$156.86	$5,032.33	$23,041.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,458.64 / $13,390.33 / $21,598.13	Facility		$11,458.64	$13,390.33	$21,598.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.43 / $384.90 / $16,370.42	Professional		$160.43	$384.90	$16,370.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $89.89 / $184.81 / $7,816.82	Facility		$89.89	$184.81	$7,816.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.88 / $8,452.00 / $19,754.00	Facility		$95.88	$8,452.00	$19,754.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,721.56 / $15,018.09 / $28,150.14	Professional		$5,721.56	$15,018.09	$28,150.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $3,723.08 / $9,393.99	Professional		$85.00	$3,723.08	$9,393.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $89.89 / $184.81 / $7,816.82	Facility		$89.89	$184.81	$7,816.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $196.93 / $4,230.43 / $13,221.72	Professional		$196.93	$4,230.43	$13,221.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $390.55 / $390.55 / $390.55	Facility		$390.55	$390.55	$390.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $145.86 / $15,018.09 / $30,520.08	Professional		$145.86	$15,018.09	$30,520.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $428.03 / $569.35 / $29,340.55	Professional		$428.03	$569.35	$29,340.55
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $21,161.20	Facility		$8,650.00	$14,566.00	$21,161.20
United Facility/Professional Professional Modifier Low / Median / High Price $5,504.83 / $15,388.47 / $24,581.10	Professional		$5,504.83	$15,388.47	$24,581.10