Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $367.50 / $14,482.00	Facility		$367.50	$367.50	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.25 / $367.50 / $382.34	Professional		$363.25	$367.50	$382.34
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 $164.80 / $203.00 / $304.22	Professional		$164.80	$203.00	$304.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $829.03 / $968.79 / $1,486.15	Facility		$829.03	$968.79	$1,486.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.36 / $662.28 / $2,152.89	Professional		$505.36	$662.28	$2,152.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $367.50 / $367.50	Facility		$367.50	$367.50	$367.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $7,555.00 / $12,631.00	Facility		$367.50	$7,555.00	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,295.27 / $2,295.27 / $2,295.27	Professional		$2,295.27	$2,295.27	$2,295.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $579.28	Professional		$50.00	$70.00	$579.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $367.50 / $367.50	Facility		$367.50	$367.50	$367.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,295.27 / $2,295.27 / $2,295.27	Professional		$2,295.27	$2,295.27	$2,295.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $657.65 / $657.65 / $657.65	Professional		$657.65	$657.65	$657.65
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