Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.20 / $2,161.33 / $6,461.00	Facility		$213.20	$2,161.33	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $1,592.51 / $2,924.12	Professional		$166.05	$1,592.51	$2,924.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.11 / $1,990.08 / $8,673.25	Professional		$299.11	$1,990.08	$8,673.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $477.31 / $2,985.12 / $13,066.99	Professional	50	$477.31	$2,985.12	$13,066.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,496.59 / $5,254.62 / $8,475.52	Facility		$4,496.59	$5,254.62	$8,475.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.98 / $692.03 / $6,521.76	Professional		$326.98	$692.03	$6,521.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $184.73 / $367.81 / $3,129.58	Facility		$184.73	$367.81	$3,129.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $197.04 / $3,810.44 / $16,779.00	Facility		$197.04	$3,810.44	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,210.11 / $5,895.90 / $10,859.39	Professional		$2,210.11	$5,895.90	$10,859.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,513.13 / $3,849.97	Professional		$85.00	$1,513.13	$3,849.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $184.73 / $367.81 / $3,129.58	Facility		$184.73	$367.81	$3,129.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $406.56 / $1,702.46 / $5,374.79	Professional		$406.56	$1,702.46	$5,374.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,216.08 / $1,216.08 / $1,216.08	Facility		$1,216.08	$1,216.08	$1,216.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $5,895.90 / $12,086.08	Professional		$324.58	$5,895.90	$12,086.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,168.70 / $8,919.01 / $11,567.11	Professional		$1,168.70	$8,919.01	$11,567.11
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $12,373.00 / $15,090.00	Facility		$7,984.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,888.38 / $6,344.57 / $10,069.54	Professional		$1,888.38	$6,344.57	$10,069.54