Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.97 / $4,465.28 / $14,482.00	Facility		$541.97	$4,465.28	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.01 / $1,661.33 / $3,081.23	Professional		$379.01	$1,661.33	$3,081.23
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 $760.38 / $2,818.09 / $11,472.26	Professional		$760.38	$2,818.09	$11,472.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,073.55 / $7,097.42 / $11,447.89	Facility		$6,073.55	$7,097.42	$11,447.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $799.03 / $1,979.95 / $8,849.50	Professional		$799.03	$1,979.95	$8,849.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $465.46 / $917.28 / $4,266.83	Facility		$465.46	$917.28	$4,266.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $496.49 / $4,520.76 / $19,754.00	Facility		$496.49	$4,520.76	$19,754.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,712.68 / $7,338.75 / $12,481.50	Professional		$2,712.68	$7,338.75	$12,481.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $2,021.78 / $5,108.99	Professional		$85.00	$2,021.78	$5,108.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $465.46 / $917.28 / $4,266.83	Facility		$465.46	$917.28	$4,266.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $997.15 / $2,321.14 / $7,328.03	Professional		$997.15	$2,321.14	$7,328.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,605.25 / $3,605.25 / $3,605.25	Facility		$3,605.25	$3,605.25	$3,605.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $817.89 / $8,020.93 / $16,456.24	Professional		$817.89	$8,020.93	$16,456.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,944.75 / $9,515.46 / $15,698.88	Professional		$2,944.75	$9,515.46	$15,698.88
United Facility/Professional Facility Modifier Low / Median / High Price $8,452.00 / $14,566.00 / $19,562.00	Facility		$8,452.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,712.68 / $7,590.56 / $10,435.95	Professional		$2,712.68	$7,590.56	$10,435.95