Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.78 / $5,551.06 / $14,707.20	Facility		$381.78	$5,551.06	$14,707.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.06 / $1,647.53 / $7,355.27	Professional		$283.06	$1,647.53	$7,355.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.64 / $5,238.31 / $22,751.66	Professional		$535.64	$5,238.31	$22,751.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,418.99 / $13,344.00 / $21,523.39	Facility		$11,418.99	$13,344.00	$21,523.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $563.71 / $1,231.56 / $17,314.63	Professional		$563.71	$1,231.56	$17,314.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $328.37 / $657.14 / $7,885.38	Facility		$328.37	$657.14	$7,885.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $350.26 / $7,885.38 / $19,754.00	Facility		$350.26	$7,885.38	$19,754.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,002.86 / $15,395.54 / $29,495.03	Professional		$6,002.86	$15,395.54	$29,495.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $3,722.40 / $9,420.14	Professional		$85.00	$3,722.40	$9,420.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $328.37 / $657.14 / $7,885.38	Facility		$328.37	$657.14	$7,885.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $709.94 / $4,275.39 / $13,497.74	Professional		$709.94	$4,275.39	$13,497.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,239.76 / $7,239.76 / $7,239.76	Facility		$7,239.76	$7,239.76	$7,239.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $577.71 / $15,395.54 / $30,583.60	Professional		$577.71	$15,395.54	$30,583.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,079.98 / $24,131.32 / $29,327.21	Professional		$2,079.98	$24,131.32	$29,327.21
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,128.24 / $15,157.21 / $25,601.78	Professional		$5,128.24	$15,157.21	$25,601.78