Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.26 / $1,658.06 / $14,482.00	Facility		$308.26	$1,658.06	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.16 / $1,329.28 / $2,191.59	Professional		$264.16	$1,329.28	$2,191.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,344.00 / $10,382.04	Facility		$5,169.00	$7,344.00	$10,382.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.91 / $1,591.27 / $6,467.48	Professional		$370.91	$1,591.27	$6,467.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,423.35 / $4,000.46 / $5,316.94	Facility		$3,423.35	$4,000.46	$5,316.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.76 / $1,408.60 / $4,488.10	Professional		$398.76	$1,408.60	$4,488.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $288.58 / $1,120.60 / $2,551.88	Facility		$288.58	$1,120.60	$2,551.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $292.23 / $1,591.23 / $10,230.00	Facility		$292.23	$1,591.23	$10,230.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,724.05 / $4,744.05 / $9,287.20	Professional		$1,724.05	$4,744.05	$9,287.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $700.56 / $1,151.76 / $2,970.56	Professional		$700.56	$1,151.76	$2,970.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $288.92 / $1,120.60 / $2,601.31	Facility		$288.92	$1,120.60	$2,601.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $569.41 / $1,315.06 / $4,151.75	Professional		$569.41	$1,315.06	$4,151.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $619.84 / $2,258.37 / $2,258.37	Facility		$619.84	$2,258.37	$2,258.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $552.67 / $4,744.05 / $9,287.20	Professional		$552.67	$4,744.05	$9,287.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,310.16 / $5,725.20 / $8,850.23	Professional		$1,310.16	$5,725.20	$8,850.23
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,953.00 / $12,062.00	Facility		$6,241.00	$9,953.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,564.12 / $4,271.99 / $6,916.56	Professional		$1,564.12	$4,271.99	$6,916.56