Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.55 / $2,194.80 / $5,974.90	Facility		$514.55	$2,194.80	$5,974.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.48 / $1,646.20 / $3,352.50	Professional		$437.48	$1,646.20	$3,352.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,444.00 / $19,639.00	Facility		$8,712.00	$12,444.00	$19,639.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $768.00 / $2,412.00 / $9,123.21	Professional		$768.00	$2,412.00	$9,123.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,520.02 / $5,282.00 / $8,519.68	Facility		$4,520.02	$5,282.00	$8,519.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $765.45 / $1,896.78 / $6,623.85	Professional		$765.45	$1,896.78	$6,623.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $445.90 / $928.23 / $3,203.50	Facility		$445.90	$928.23	$3,203.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $475.62 / $4,006.22 / $16,779.00	Facility		$475.62	$4,006.22	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,275.98 / $6,340.00 / $11,183.09	Professional		$2,275.98	$6,340.00	$11,183.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,543.99 / $4,099.67	Professional		$85.00	$1,543.99	$4,099.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $445.90 / $928.23 / $3,203.50	Facility		$445.90	$928.23	$3,203.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $971.74 / $1,890.28 / $5,536.05	Professional		$971.74	$1,890.28	$5,536.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,394.86 / $3,394.86 / $3,394.86	Facility		$3,394.86	$3,394.86	$3,394.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $780.98 / $6,340.00 / $16,015.95	Professional		$780.98	$6,340.00	$16,015.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,213.89 / $2,811.89 / $11,719.42	Professional		$2,213.89	$2,811.89	$11,719.42
United Facility/Professional Facility Modifier Low / Median / High Price $8,967.00 / $13,752.00 / $17,450.00	Facility		$8,967.00	$13,752.00	$17,450.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,199.64 / $7,065.25 / $9,706.95	Professional		$2,199.64	$7,065.25	$9,706.95