Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.49 / $1,894.00 / $7,610.14	Facility		$300.49	$1,894.00	$7,610.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.71 / $507.11 / $3,070.07	Professional		$192.71	$507.11	$3,070.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.50 / $819.44 / $1,870.41	Professional		$379.50	$819.44	$1,870.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,826.64 / $6,808.89 / $10,445.01	Facility		$5,826.64	$6,808.89	$10,445.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.49 / $1,503.35 / $9,519.08	Professional		$499.49	$1,503.35	$9,519.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $188.40 / $540.88 / $3,123.30	Facility		$188.40	$540.88	$3,123.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $265.22 / $1,897.79 / $13,721.00	Facility		$265.22	$1,897.79	$13,721.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $266.33 / $3,335.44 / $15,677.84	Professional		$266.33	$3,335.44	$15,677.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.57 / $1,592.20 / $4,265.69	Professional		$200.57	$1,592.20	$4,265.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $211.20 / $540.88 / $3,123.30	Facility		$211.20	$540.88	$3,123.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $748.21 / $2,210.71 / $6,648.74	Professional		$748.21	$2,210.71	$6,648.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,747.25 / $3,747.25 / $12,026.87	Facility		$3,747.25	$3,747.25	$12,026.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $751.86 / $7,877.88 / $15,677.84	Professional		$751.86	$7,877.88	$15,677.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $639.73 / $1,882.78 / $12,543.41	Professional		$639.73	$1,882.78	$12,543.41
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 $280.82 / $3,160.69 / $7,935.68	Professional		$280.82	$3,160.69	$7,935.68