Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.57 / $960.95 / $14,482.00	Facility		$289.57	$960.95	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.57 / $399.09 / $797.61	Professional		$289.57	$399.09	$797.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.65 / $900.81 / $1,906.57	Professional		$428.65	$900.81	$1,906.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,244.45 / $1,454.23 / $2,230.83	Facility		$1,244.45	$1,454.23	$2,230.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.48 / $693.42 / $1,273.49	Professional		$350.48	$693.42	$1,273.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $338.80 / $555.22 / $1,257.93	Facility		$338.80	$555.22	$1,257.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $361.83 / $807.87 / $4,821.00	Facility		$361.83	$807.87	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $440.39 / $885.44 / $3,044.70	Professional		$440.39	$885.44	$3,044.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $266.66 / $802.71	Professional		$31.53	$266.66	$802.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $338.80 / $555.22 / $1,257.93	Facility		$338.80	$555.22	$1,257.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $758.83 / $1,078.28 / $1,512.36	Professional		$758.83	$1,078.28	$1,512.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $671.91 / $898.00 / $2,434.80	Facility		$671.91	$898.00	$2,434.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $441.43 / $1,650.65 / $3,449.60	Professional		$441.43	$1,650.65	$3,449.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $750.30 / $1,478.83 / $1,999.43	Professional		$750.30	$1,478.83	$1,999.43
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 $427.09 / $713.72 / $1,753.67	Professional		$427.09	$713.72	$1,753.67