Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.97 / $6,461.00 / $14,482.00	Facility		$576.97	$6,461.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.06 / $2,030.00 / $11,016.14	Professional		$463.06	$2,030.00	$11,016.14
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 $731.97 / $7,280.24 / $35,703.66	Professional		$731.97	$7,280.24	$35,703.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19,028.95 / $22,236.83 / $35,867.22	Facility		$19,028.95	$22,236.83	$35,867.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $843.02 / $2,223.66 / $27,712.37	Professional		$843.02	$2,223.66	$27,712.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $495.88 / $986.19 / $13,268.92	Facility		$495.88	$986.19	$13,268.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $528.92 / $11,016.14 / $19,754.00	Facility		$528.92	$11,016.14	$19,754.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8,536.61 / $25,244.19 / $39,969.94	Professional		$8,536.61	$25,244.19	$39,969.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $6,339.36 / $17,352.76	Professional		$85.00	$6,339.36	$17,352.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $495.88 / $986.19 / $13,268.92	Facility		$495.88	$986.19	$13,268.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,069.53 / $7,190.76 / $22,701.78	Professional		$1,069.53	$7,190.76	$22,701.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,164.75 / $12,164.75 / $12,164.75	Facility		$12,164.75	$12,164.75	$12,164.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $803.37 / $24,297.26 / $50,934.72	Professional		$803.37	$24,297.26	$50,934.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,731.06 / $31,330.11 / $48,857.62	Professional		$2,731.06	$31,330.11	$48,857.62
United Facility/Professional Facility Modifier Low / Median / High Price $8,452.00 / $14,566.00 / $19,562.00	Facility		$8,452.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $8,536.61 / $25,244.19 / $35,145.43	Professional		$8,536.61	$25,244.19	$35,145.43