Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.06 / $2,340.46 / $13,367.00	Facility		$416.06	$2,340.46	$13,367.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.98 / $1,572.34 / $2,885.14	Professional		$338.98	$1,572.34	$2,885.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.58 / $2,227.21 / $9,390.03	Professional		$608.58	$2,227.21	$9,390.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,824.60 / $5,637.92 / $9,093.77	Facility		$4,824.60	$5,637.92	$9,093.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.41 / $2,821.20 / $6,991.39	Professional		$608.41	$2,821.20	$6,991.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $358.02 / $721.86 / $3,372.19	Facility		$358.02	$721.86	$3,372.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $381.89 / $3,922.91 / $16,779.00	Facility		$381.89	$3,922.91	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,366.39 / $6,689.75 / $11,622.52	Professional		$2,366.39	$6,689.75	$11,622.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,610.17 / $4,079.61	Professional		$85.00	$1,610.17	$4,079.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $358.02 / $721.86 / $3,372.19	Facility		$358.02	$721.86	$3,372.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $785.40 / $1,842.74 / $5,817.68	Professional		$785.40	$1,842.74	$5,817.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,741.27 / $2,741.27 / $2,741.27	Facility		$2,741.27	$2,741.27	$2,741.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $580.91 / $6,508.19 / $13,086.96	Professional		$580.91	$6,508.19	$13,086.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,267.66 / $10,319.77 / $12,472.37	Professional		$2,267.66	$10,319.77	$12,472.37
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $12,373.00 / $15,090.00	Facility		$7,984.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,296.12 / $6,425.29 / $10,148.95	Professional		$2,296.12	$6,425.29	$10,148.95