Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.07 / $1,773.59 / $14,482.00	Facility		$422.07	$1,773.59	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.99 / $1,464.71 / $2,474.51	Professional		$379.99	$1,464.71	$2,474.51
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 $488.21 / $1,955.27 / $6,970.07	Professional		$488.21	$1,955.27	$6,970.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,678.37 / $4,298.47 / $5,713.02	Facility		$3,678.37	$4,298.47	$5,713.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.99 / $1,499.40 / $4,836.85	Professional		$525.99	$1,499.40	$4,836.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $387.96 / $1,210.08 / $2,747.68	Facility		$387.96	$1,210.08	$2,747.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $397.46 / $1,719.65 / $10,230.00	Facility		$397.46	$1,719.65	$10,230.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,859.82 / $5,203.03 / $10,043.12	Professional		$1,859.82	$5,203.03	$10,043.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $759.43 / $1,246.86 / $3,203.31	Professional		$759.43	$1,246.86	$3,203.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $396.76 / $1,210.08 / $2,831.61	Facility		$396.76	$1,210.08	$2,831.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $797.65 / $1,640.65 / $4,514.01	Professional		$797.65	$1,640.65	$4,514.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $854.71 / $2,407.02 / $2,407.02	Facility		$854.71	$2,407.02	$2,407.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $719.94 / $5,203.03 / $10,043.12	Professional		$719.94	$5,203.03	$10,043.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,768.41 / $6,182.35 / $9,538.02	Professional		$1,768.41	$6,182.35	$9,538.02
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 $1,545.00 / $3,383.73 / $6,509.12	Professional		$1,545.00	$3,383.73	$6,509.12