Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.71 / $2,336.88 / $14,482.00	Facility		$448.71	$2,336.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.93 / $1,297.76 / $2,444.82	Professional		$325.93	$1,297.76	$2,444.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $629.53 / $2,248.29 / $9,110.43	Professional		$629.53	$2,248.29	$9,110.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,820.09 / $5,632.66 / $9,085.28	Facility		$4,820.09	$5,632.66	$9,085.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.75 / $1,444.49 / $7,055.37	Professional		$661.75	$1,444.49	$7,055.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $385.49 / $765.63 / $3,404.10	Facility		$385.49	$765.63	$3,404.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $411.19 / $3,604.73 / $16,779.00	Facility		$411.19	$3,604.73	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,159.65 / $5,734.88 / $9,845.98	Professional		$2,159.65	$5,734.88	$9,845.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,642.52 / $4,156.15	Professional		$85.00	$1,642.52	$4,156.15
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $385.49 / $765.63 / $3,404.10	Facility		$385.49	$765.63	$3,404.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $828.52 / $1,853.53 / $5,851.75	Professional		$828.52	$1,853.53	$5,851.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,172.90 / $3,172.90 / $3,172.90	Facility		$3,172.90	$3,172.90	$3,172.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $677.52 / $6,382.38 / $13,077.76	Professional		$677.52	$6,382.38	$13,077.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,439.42 / $8,747.74 / $12,466.86	Professional		$2,439.42	$8,747.74	$12,466.86
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,588.15 / $5,326.07 / $8,304.06	Professional		$1,588.15	$5,326.07	$8,304.06