Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.51 / $2,956.32 / $8,792.69	Facility		$422.51	$2,956.32	$8,792.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.95 / $1,158.83 / $2,634.07	Professional		$335.95	$1,158.83	$2,634.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.61 / $1,953.58 / $7,532.51	Professional		$630.61	$1,953.58	$7,532.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,979.35 / $4,650.18 / $7,500.58	Facility		$3,979.35	$4,650.18	$7,500.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $618.86 / $1,544.49 / $5,227.16	Professional		$618.86	$1,544.49	$5,227.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $363.49 / $721.32 / $2,824.93	Facility		$363.49	$721.32	$2,824.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $387.72 / $2,986.65 / $11,598.00	Facility		$387.72	$2,986.65	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,843.03 / $5,342.77 / $8,314.15	Professional		$1,843.03	$5,342.77	$8,314.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,357.87 / $3,631.65	Professional		$85.00	$1,357.87	$3,631.65
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $363.49 / $721.32 / $2,824.93	Facility		$363.49	$721.32	$2,824.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $780.78 / $1,539.52 / $4,860.37	Professional		$780.78	$1,539.52	$4,860.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,641.39 / $2,641.39 / $2,641.39	Facility		$2,641.39	$2,641.39	$2,641.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.05 / $5,034.85 / $10,827.36	Professional		$588.05	$5,034.85	$10,827.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,042.48 / $6,428.23 / $10,307.62	Professional		$2,042.48	$6,428.23	$10,307.62
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,779.85 / $4,921.34 / $7,260.04	Professional		$1,779.85	$4,921.34	$7,260.04