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 $367.50 / $367.50 / $1,485.12	Professional		$367.50	$367.50	$1,485.12
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 $168.10 / $210.12 / $304.22	Professional		$168.10	$210.12	$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 / $2,837.84	Facility		$367.50	$367.50	$2,837.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $3,628.00 / $6,312.00	Facility		$367.50	$3,628.00	$6,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,493.59 / $2,493.59 / $2,493.59	Professional		$2,493.59	$2,493.59	$2,493.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $367.50 / $2,837.84	Facility		$367.50	$367.50	$2,837.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,493.59 / $2,493.59 / $2,493.59	Professional		$2,493.59	$2,493.59	$2,493.59
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 $2,781.00 / $4,155.00 / $6,031.18	Facility		$2,781.00	$4,155.00	$6,031.18