Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.33 / $3,539.16 / $12,381.00	Facility		$520.33	$3,539.16	$12,381.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.87 / $2,628.53 / $4,235.28	Professional		$438.87	$2,628.53	$4,235.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $16,493.00 / $23,358.00	Facility		$12,080.00	$16,493.00	$23,358.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.61 / $3,479.46 / $15,415.39	Professional		$776.61	$3,479.46	$15,415.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,308.08 / $8,540.07 / $13,774.84	Facility		$7,308.08	$8,540.07	$13,774.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $759.00 / $4,273.00 / $11,004.59	Professional		$759.00	$4,273.00	$11,004.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $446.40 / $929.06 / $5,097.89	Facility		$446.40	$929.06	$5,097.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $476.16 / $6,703.46 / $21,512.00	Facility		$476.16	$6,703.46	$21,512.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,610.93 / $9,675.94 / $19,216.72	Professional		$3,610.93	$9,675.94	$19,216.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $2,459.40 / $6,621.22	Professional		$85.00	$2,459.40	$6,621.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $446.40 / $929.06 / $5,097.89	Facility		$446.40	$929.06	$5,097.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $991.76 / $2,786.24 / $8,796.36	Professional		$991.76	$2,786.24	$8,796.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,368.42 / $4,368.42 / $4,368.42	Facility		$4,368.42	$4,368.42	$4,368.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $725.34 / $10,116.77 / $19,771.20	Professional		$725.34	$10,116.77	$19,771.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,497.86 / $15,094.76 / $18,862.74	Professional		$2,497.86	$15,094.76	$18,862.74
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,460.27 / $10,566.77 / $19,216.72	Professional		$3,460.27	$10,566.77	$19,216.72