Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.36 / $2,648.86 / $13,367.00	Facility		$361.36	$2,648.86	$13,367.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.04 / $1,037.86 / $2,162.42	Professional		$279.04	$1,037.86	$2,162.42
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 $523.41 / $1,701.00 / $6,899.16	Professional		$523.41	$1,701.00	$6,899.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,599.97 / $4,206.85 / $6,785.51	Facility		$3,599.97	$4,206.85	$6,785.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.67 / $1,394.53 / $4,939.14	Professional		$528.67	$1,394.53	$4,939.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $310.58 / $615.52 / $2,531.13	Facility		$310.58	$615.52	$2,531.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.29 / $5,356.00 / $16,779.00	Facility		$331.29	$5,356.00	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,693.30 / $4,795.93 / $8,057.67	Professional		$1,693.30	$4,795.93	$8,057.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,199.37 / $3,047.10	Professional		$85.00	$1,199.37	$3,047.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $310.58 / $615.52 / $2,531.13	Facility		$310.58	$615.52	$2,531.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $668.36 / $1,379.45 / $4,355.03	Professional		$668.36	$1,379.45	$4,355.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,015.94 / $2,015.94 / $2,015.94	Facility		$2,015.94	$2,015.94	$2,015.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $503.84 / $4,795.35 / $9,783.44	Professional		$503.84	$4,795.35	$9,783.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,966.81 / $7,313.43 / $9,319.74	Professional		$1,966.81	$7,313.43	$9,319.74
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 $1,484.91 / $4,458.34 / $7,486.49	Professional		$1,484.91	$4,458.34	$7,486.49