Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.69 / $6,461.00 / $21,670.08	Facility		$521.69	$6,461.00	$21,670.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.14 / $2,331.19 / $6,379.75	Professional		$427.14	$2,331.19	$6,379.75
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 $778.65 / $4,718.02 / $23,345.58	Professional		$778.65	$4,718.02	$23,345.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,426.44 / $14,521.28 / $23,422.32	Facility		$12,426.44	$14,521.28	$23,422.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.98 / $1,677.57 / $16,200.65	Professional		$761.98	$1,677.57	$16,200.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $447.58 / $917.71 / $8,608.75	Facility		$447.58	$917.71	$8,608.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $477.41 / $8,608.75 / $19,754.00	Facility		$477.41	$8,608.75	$19,754.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,513.87 / $14,975.36 / $25,781.06	Professional		$5,513.87	$14,975.36	$25,781.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $4,103.28 / $11,207.62	Professional		$85.00	$4,103.28	$11,207.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $447.58 / $917.71 / $8,608.75	Facility		$447.58	$917.71	$8,608.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $960.96 / $4,668.18 / $14,737.82	Professional		$960.96	$4,668.18	$14,737.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,911.84 / $7,911.84 / $7,911.84	Facility		$7,911.84	$7,911.84	$7,911.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $725.07 / $15,693.25 / $33,340.00	Professional		$725.07	$15,693.25	$33,340.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,446.40 / $19,950.90 / $31,946.60	Professional		$2,446.40	$19,950.90	$31,946.60
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 $5,513.87 / $11,039.17 / $21,302.82	Professional		$5,513.87	$11,039.17	$21,302.82