Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.51 / $1,894.00 / $5,994.47	Facility		$178.51	$1,894.00	$5,994.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.61 / $780.57 / $2,644.72	Professional		$151.61	$780.57	$2,644.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,159.00 / $11,302.00 / $14,586.00	Facility		$6,159.00	$11,302.00	$14,586.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.43 / $1,680.36 / $8,694.85	Professional		$266.43	$1,680.36	$8,694.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,629.95 / $5,410.47 / $8,726.89	Facility		$4,629.95	$5,410.47	$8,726.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.27 / $692.96 / $6,033.80	Professional		$273.27	$692.96	$6,033.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $154.57 / $317.14 / $3,213.99	Facility		$154.57	$317.14	$3,213.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.88 / $3,218.01 / $16,779.00	Facility		$164.88	$3,218.01	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,818.00 / $5,462.12 / $9,587.73	Professional		$1,818.00	$5,462.12	$9,587.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,543.86 / $4,201.00	Professional		$85.00	$1,543.86	$4,201.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $154.57 / $317.14 / $3,213.99	Facility		$154.57	$317.14	$3,213.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $340.34 / $1,746.34 / $5,513.34	Professional		$340.34	$1,746.34	$5,513.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,967.63 / $2,967.63 / $2,967.63	Facility		$2,967.63	$2,967.63	$2,967.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $249.82 / $3,208.39 / $12,419.20	Professional		$249.82	$3,208.39	$12,419.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $812.46 / $8,423.96 / $11,898.20	Professional		$812.46	$8,423.96	$11,898.20
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 $1,643.28 / $5,075.74 / $7,294.11	Professional		$1,643.28	$5,075.74	$7,294.11