Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.71 / $1,267.15 / $14,482.00	Facility		$235.71	$1,267.15	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.17 / $863.70 / $1,686.50	Professional		$200.17	$863.70	$1,686.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,139.00 / $10,914.00	Facility		$5,169.00	$8,139.00	$10,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.32 / $1,203.34 / $4,958.95	Professional		$278.32	$1,203.34	$4,958.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,623.16 / $3,065.37 / $4,074.13	Facility		$2,623.16	$3,065.37	$4,074.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.64 / $871.78 / $3,441.24	Professional		$308.64	$871.78	$3,441.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $222.06 / $857.69 / $1,947.41	Facility		$222.06	$857.69	$1,947.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $224.99 / $1,224.31 / $10,230.00	Facility		$224.99	$1,224.31	$10,230.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,313.46 / $3,672.33 / $7,128.80	Professional		$1,313.46	$3,672.33	$7,128.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $530.60 / $876.16 / $2,256.71	Professional		$530.60	$876.16	$2,256.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $224.37 / $857.69 / $1,947.41	Facility		$224.37	$857.69	$1,947.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $448.06 / $1,010.76 / $3,191.04	Professional		$448.06	$1,010.76	$3,191.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $478.13 / $1,746.26 / $1,746.26	Facility		$478.13	$1,746.26	$1,746.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $423.87 / $3,672.33 / $7,128.80	Professional		$423.87	$3,672.33	$7,128.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $990.13 / $4,317.97 / $6,785.92	Professional		$990.13	$4,317.97	$6,785.92
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,953.00 / $12,062.00	Facility		$6,073.00	$9,953.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,178.59 / $2,405.98 / $4,578.75	Professional		$1,178.59	$2,405.98	$4,578.75