Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.52 / $787.30 / $3,119.00	Facility		$322.52	$787.30	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.52 / $436.74 / $1,031.78	Professional		$322.52	$436.74	$1,031.78
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 $477.44 / $973.07 / $2,092.87	Professional		$477.44	$973.07	$2,092.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,322.84 / $1,545.85 / $2,371.37	Facility		$1,322.84	$1,545.85	$2,371.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.02 / $772.41 / $1,419.55	Professional		$412.02	$772.41	$1,419.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $379.65 / $619.65 / $1,395.03	Facility		$379.65	$619.65	$1,395.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $419.42 / $917.14 / $7,318.09	Facility		$419.42	$917.14	$7,318.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $497.47 / $974.20 / $2,865.44	Professional		$497.47	$974.20	$2,865.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $386.21 / $1,003.99	Professional		$62.33	$386.21	$1,003.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $379.65 / $619.65 / $1,395.03	Facility		$379.65	$619.65	$1,395.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $851.09 / $1,195.24 / $1,642.17	Professional		$851.09	$1,195.24	$1,642.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $738.31 / $986.75 / $2,710.74	Facility		$738.31	$986.75	$2,710.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $481.83 / $1,886.30 / $3,739.52	Professional		$481.83	$1,886.30	$3,739.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $854.50 / $1,630.58 / $2,146.88	Professional		$854.50	$1,630.58	$2,146.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $458.57 / $766.07 / $1,953.76	Professional		$458.57	$766.07	$1,953.76