Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.79 / $5,692.50 / $10,831.50	Facility		$337.79	$5,692.50	$10,831.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.28 / $3,221.21 / $7,654.29	Professional		$166.28	$3,221.21	$7,654.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.32 / $3,398.60 / $15,011.55	Professional		$308.32	$3,398.60	$15,011.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,844.25 / $9,166.62 / $14,785.44	Facility		$7,844.25	$9,166.62	$14,785.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.37 / $817.07 / $10,305.95	Professional		$273.37	$817.07	$10,305.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $177.28 / $337.51 / $4,759.29	Facility		$177.28	$337.51	$4,759.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $180.16 / $4,759.29 / $15,090.00	Facility		$180.16	$4,759.29	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,578.66 / $10,269.87 / $17,097.68	Professional		$3,578.66	$10,269.87	$17,097.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $2,678.77 / $6,443.35	Professional		$85.00	$2,678.77	$6,443.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $177.28 / $337.51 / $4,759.29	Facility		$177.28	$337.51	$4,759.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $374.78 / $2,645.91 / $9,670.03	Professional		$374.78	$2,645.91	$9,670.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,144.02 / $1,144.02 / $1,144.02	Facility		$1,144.02	$1,144.02	$1,144.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $227.68 / $5,424.90 / $20,949.68	Professional		$227.68	$5,424.90	$20,949.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $790.99 / $9,678.39 / $14,041.03	Professional		$790.99	$9,678.39	$14,041.03
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 $3,545.95 / $10,321.20 / $14,773.86	Professional		$3,545.95	$10,321.20	$14,773.86