Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.69 / $915.86 / $4,088.83	Facility		$260.69	$915.86	$4,088.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.36 / $400.06 / $1,661.48	Professional		$261.36	$400.06	$1,661.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.07 / $844.00 / $1,797.58	Professional		$403.07	$844.00	$1,797.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,177.76 / $1,376.31 / $2,111.30	Facility		$1,177.76	$1,376.31	$2,111.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.51 / $635.60 / $1,146.54	Professional		$316.51	$635.60	$1,146.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $308.24 / $529.16 / $1,221.15	Facility		$308.24	$529.16	$1,221.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.34 / $846.45 / $4,821.00	Facility		$338.34	$846.45	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.48 / $855.19 / $2,325.76	Professional		$407.48	$855.19	$2,325.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $358.72 / $927.98	Professional		$62.33	$358.72	$927.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $308.24 / $529.16 / $1,221.15	Facility		$308.24	$529.16	$1,221.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $703.01 / $1,027.71 / $1,458.27	Professional		$703.01	$1,027.71	$1,458.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $598.91 / $800.46 / $1,469.96	Facility		$598.91	$800.46	$1,469.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $396.13 / $1,523.70 / $3,315.20	Professional		$396.13	$1,523.70	$3,315.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $579.60 / $1,322.13 / $1,906.55	Professional		$579.60	$1,322.13	$1,906.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.96 / $675.82 / $1,712.14	Professional		$392.96	$675.82	$1,712.14