Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.70 / $1,624.81 / $6,461.00	Facility		$380.70	$1,624.81	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.45 / $945.75 / $1,913.13	Professional		$306.45	$945.75	$1,913.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.86 / $1,613.67 / $6,265.57	Professional		$561.86	$1,613.67	$6,265.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,329.64 / $3,890.95 / $6,275.96	Facility		$3,329.64	$3,890.95	$6,275.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.58 / $1,247.39 / $4,847.42	Professional		$566.58	$1,247.39	$4,847.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $301.98 / $646.76 / $2,339.29	Facility		$301.98	$646.76	$2,339.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $329.44 / $2,094.34 / $11,598.00	Facility		$329.44	$2,094.34	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,455.53 / $4,250.92 / $7,407.69	Professional		$1,455.53	$4,250.92	$7,407.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.43 / $938.36 / $2,514.85	Professional		$106.43	$938.36	$2,514.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $301.98 / $646.76 / $2,339.29	Facility		$301.98	$646.76	$2,339.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $717.64 / $1,316.53 / $4,042.74	Professional		$717.64	$1,316.53	$4,042.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,208.59 / $2,208.59 / $2,208.59	Facility		$2,208.59	$2,208.59	$2,208.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $579.15 / $5,036.00 / $9,047.28	Professional		$579.15	$5,036.00	$9,047.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,526.54 / $2,085.19 / $8,613.46	Professional		$1,526.54	$2,085.19	$8,613.46
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,507.62 / $4,186.29 / $5,795.82	Professional		$1,507.62	$4,186.29	$5,795.82