Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.16 / $1,894.00 / $14,482.00	Facility		$80.16	$1,894.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $1,117.89 / $2,322.94	Professional		$62.39	$1,117.89	$2,322.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.63 / $172.23 / $1,382.57	Professional		$78.63	$172.23	$1,382.57
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $117.94 / $261.61 / $2,073.85	Professional	50	$117.94	$261.61	$2,073.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,009.74 / $3,517.12 / $5,672.99	Facility		$3,009.74	$3,517.12	$5,672.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $208.76 / $3,978.58	Professional		$70.31	$208.76	$3,978.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.72 / $1,165.53 / $2,425.38	Facility		$48.72	$1,165.53	$2,425.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.39 / $2,186.60 / $5,801.00	Facility		$51.39	$2,186.60	$5,801.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,385.53 / $2,986.77 / $7,655.26	Professional		$1,385.53	$2,986.77	$7,655.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $701.65 / $1,141.79 / $2,702.36	Professional		$701.65	$1,141.79	$2,702.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $48.72 / $200.40 / $2,616.77	Facility		$48.72	$200.40	$2,616.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $94.81 / $1,353.91 / $4,231.49	Professional		$94.81	$1,353.91	$4,231.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,736.66 / $1,736.66 / $1,736.66	Facility		$1,736.66	$1,736.66	$1,736.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $4,010.05 / $8,851.89	Professional		$89.41	$4,010.05	$8,851.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $282.52 / $5,411.16 / $10,694.28	Professional		$282.52	$5,411.16	$10,694.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,358.13 / $2,622.17 / $5,976.94	Professional		$1,358.13	$2,622.17	$5,976.94