Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.20 / $1,747.64 / $14,482.00	Facility		$398.20	$1,747.64	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.82 / $456.65 / $1,504.50	Professional		$384.82	$456.65	$1,504.50
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 $461.25 / $1,000.46 / $2,129.78	Professional		$461.25	$1,000.46	$2,129.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,239.94 / $1,448.97 / $2,222.76	Facility		$1,239.94	$1,448.97	$2,222.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.44 / $944.24 / $1,383.09	Professional		$489.44	$944.24	$1,383.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $401.35 / $597.70 / $1,379.01	Facility		$401.35	$597.70	$1,379.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $442.01 / $1,379.01 / $11,598.00	Facility		$442.01	$1,379.01	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $471.64 / $845.43 / $2,021.17	Professional		$471.64	$845.43	$2,021.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $322.27 / $953.02	Professional		$53.80	$322.27	$953.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $401.35 / $597.70 / $1,379.01	Facility		$401.35	$597.70	$1,379.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $787.86 / $1,155.53 / $1,656.84	Professional		$787.86	$1,155.53	$1,656.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,529.08 / $11,102.00 / $11,102.00	Facility		$7,529.08	$11,102.00	$11,102.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $551.28 / $2,000.61 / $3,547.36	Professional		$551.28	$2,000.61	$3,547.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $860.40 / $1,088.67 / $2,023.96	Professional		$860.40	$1,088.67	$2,023.96
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $435.82 / $817.97 / $1,913.94	Professional		$435.82	$817.97	$1,913.94