Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.80 / $1,553.60 / $14,482.00	Facility		$335.80	$1,553.60	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.99 / $1,286.02 / $2,086.13	Professional		$285.99	$1,286.02	$2,086.13
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 $388.43 / $1,547.06 / $5,919.06	Professional		$388.43	$1,547.06	$5,919.06
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $648.61 / $2,320.60 / $9,214.86	Professional	50	$648.61	$2,320.60	$9,214.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,275.57 / $3,827.76 / $5,087.42	Facility		$3,275.57	$3,827.76	$5,087.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.04 / $1,292.31 / $4,301.14	Professional		$426.04	$1,292.31	$4,301.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $310.76 / $1,085.52 / $2,316.32	Facility		$310.76	$1,085.52	$2,316.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.30 / $1,480.00 / $10,230.00	Facility		$316.30	$1,480.00	$10,230.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.60 / $4,627.03 / $8,922.64	Professional		$1,584.60	$4,627.03	$8,922.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $663.26 / $1,090.95 / $2,811.23	Professional		$663.26	$1,090.95	$2,811.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $316.27 / $1,085.52 / $2,330.40	Facility		$316.27	$1,085.52	$2,330.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $644.99 / $1,326.65 / $4,051.82	Professional		$644.99	$1,326.65	$4,051.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $684.13 / $2,228.54 / $2,228.54	Facility		$684.13	$2,228.54	$2,228.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $577.00 / $4,627.03 / $8,922.64	Professional		$577.00	$4,627.03	$8,922.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,376.54 / $5,033.85 / $8,481.52	Professional		$1,376.54	$5,033.85	$8,481.52
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 $1,421.94 / $3,639.09 / $5,344.54	Professional		$1,421.94	$3,639.09	$5,344.54