Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.38 / $794.32 / $6,134.86	Facility		$264.38	$794.32	$6,134.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.38 / $334.97 / $655.72	Professional		$264.38	$334.97	$655.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.41 / $797.30 / $1,670.05	Professional		$375.41	$797.30	$1,670.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,012.86 / $1,183.60 / $1,815.68	Facility		$1,012.86	$1,183.60	$1,815.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.50 / $568.28 / $1,123.94	Professional		$324.50	$568.28	$1,123.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $313.52 / $478.67 / $1,059.08	Facility		$313.52	$478.67	$1,059.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.12 / $706.06 / $7,318.09	Facility		$323.12	$706.06	$7,318.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $372.08 / $745.61 / $2,360.48	Professional		$372.08	$745.61	$2,360.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $314.69 / $806.05	Professional		$29.50	$314.69	$806.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $313.52 / $478.67 / $1,059.08	Facility		$313.52	$478.67	$1,059.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $676.52 / $918.68 / $1,280.40	Professional		$676.52	$918.68	$1,280.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $614.91 / $821.83 / $2,230.92	Facility		$614.91	$821.83	$2,230.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $368.89 / $1,552.95 / $2,861.36	Professional		$368.89	$1,552.95	$2,861.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $591.03 / $1,348.83 / $1,644.70	Professional		$591.03	$1,348.83	$1,644.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $7,280.00 / $9,134.00	Facility		$4,103.00	$7,280.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $361.67 / $604.39 / $1,486.01	Professional		$361.67	$604.39	$1,486.01