Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.38 / $7,036.63 / $17,823.00	Facility		$622.38	$7,036.63	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.10 / $2,673.21 / $8,386.34	Professional		$477.10	$2,673.21	$8,386.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $873.19 / $6,419.28 / $28,592.14	Professional		$873.19	$6,419.28	$28,592.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,514.34 / $16,961.15 / $27,357.74	Facility		$14,514.34	$16,961.15	$27,357.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $918.08 / $2,271.89 / $20,972.81	Professional		$918.08	$2,271.89	$20,972.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $534.79 / $1,059.08 / $10,057.53	Facility		$534.79	$1,059.08	$10,057.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $570.46 / $10,057.53 / $26,727.00	Facility		$570.46	$10,057.53	$26,727.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7,451.56 / $19,614.07 / $36,613.22	Professional		$7,451.56	$19,614.07	$36,613.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $4,794.01 / $12,154.83	Professional		$85.00	$4,794.01	$12,154.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $534.79 / $1,059.08 / $10,057.53	Facility		$534.79	$1,059.08	$10,057.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,148.07 / $5,454.13 / $17,219.09	Professional		$1,148.07	$5,454.13	$17,219.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,245.33 / $9,245.33 / $9,245.33	Facility		$9,245.33	$9,245.33	$9,245.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $941.07 / $19,614.07 / $38,949.60	Professional		$941.07	$19,614.07	$38,949.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.33 / $28,452.97 / $37,319.76	Professional		$3,388.33	$28,452.97	$37,319.76
United Facility/Professional Facility Modifier Low / Median / High Price $11,078.00 / $19,708.00 / $24,111.00	Facility		$11,078.00	$19,708.00	$24,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,556.04 / $19,494.71 / $30,821.09	Professional		$6,556.04	$19,494.71	$30,821.09