Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.79 / $2,196.15 / $5,884.96	Facility		$475.79	$2,196.15	$5,884.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.06 / $1,377.62 / $3,480.11	Professional		$404.06	$1,377.62	$3,480.11
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 $710.14 / $2,237.04 / $8,924.62	Professional		$710.14	$2,237.04	$8,924.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,487.58 / $5,244.09 / $8,458.53	Facility		$4,487.58	$5,244.09	$8,458.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $704.57 / $1,456.54 / $6,529.93	Professional		$704.57	$1,456.54	$6,529.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $410.42 / $810.52 / $3,155.28	Facility		$410.42	$810.52	$3,155.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $437.79 / $3,685.99 / $16,779.00	Facility		$437.79	$3,685.99	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,248.71 / $6,234.20 / $10,768.97	Professional		$2,248.71	$6,234.20	$10,768.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,516.37 / $4,057.03	Professional		$85.00	$1,516.37	$4,057.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $410.42 / $810.52 / $3,155.28	Facility		$410.42	$810.52	$3,155.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $887.81 / $1,722.60 / $5,438.39	Professional		$887.81	$1,722.60	$5,438.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,664.12 / $2,664.12 / $2,664.12	Facility		$2,664.12	$2,664.12	$2,664.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $719.81 / $6,234.20 / $15,577.70	Professional		$719.81	$6,234.20	$15,577.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,960.05 / $2,591.65 / $11,622.08	Professional		$1,960.05	$2,591.65	$11,622.08
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 $2,169.85 / $6,614.97 / $9,403.62	Professional		$2,169.85	$6,614.97	$9,403.62