Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.43 / $1,523.92 / $4,921.07	Facility		$288.43	$1,523.92	$4,921.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.63 / $1,000.28 / $1,648.48	Professional		$244.63	$1,000.28	$1,648.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,159.00 / $9,649.00 / $12,444.00	Facility		$6,159.00	$9,649.00	$12,444.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.50 / $1,477.24 / $6,037.57	Professional		$430.50	$1,477.24	$6,037.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,139.50 / $3,668.76 / $5,917.57	Facility		$3,139.50	$3,668.76	$5,917.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.10 / $1,117.00 / $4,605.12	Professional		$521.10	$1,117.00	$4,605.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $249.40 / $510.02 / $2,222.52	Facility		$249.40	$510.02	$2,222.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $266.02 / $1,240.48 / $2,222.52	Facility		$266.02	$1,240.48	$2,222.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,530.92 / $4,386.87 / $7,218.57	Professional		$1,530.92	$4,386.87	$7,218.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,072.41 / $2,868.24	Professional		$85.00	$1,072.41	$2,868.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $249.40 / $510.02 / $2,222.52	Facility		$249.40	$510.02	$2,222.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $551.32 / $1,217.22 / $3,842.87	Professional		$551.32	$1,217.22	$3,842.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,101.16 / $2,101.16 / $2,101.16	Facility		$2,101.16	$2,101.16	$2,101.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $437.08 / $4,363.41 / $10,801.34	Professional		$437.08	$4,363.41	$10,801.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,216.63 / $1,573.67 / $8,125.56	Professional		$1,216.63	$1,573.67	$8,125.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,477.28 / $3,883.31 / $6,529.29	Professional		$1,477.28	$3,883.31	$6,529.29