Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.60 / $934.70 / $3,119.00	Facility		$258.60	$934.70	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.60 / $394.70 / $1,579.84	Professional		$258.60	$394.70	$1,579.84
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 $453.08 / $999.10 / $2,046.02	Professional		$453.08	$999.10	$2,046.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,240.83 / $1,450.02 / $2,338.83	Facility		$1,240.83	$1,450.02	$2,338.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.84 / $900.23 / $1,589.91	Professional		$582.84	$900.23	$1,589.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $258.60 / $442.36 / $893.15	Facility		$258.60	$442.36	$893.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $273.73 / $634.30 / $8,103.00	Facility		$273.73	$634.30	$8,103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $529.28 / $1,277.24 / $2,308.71	Professional		$529.28	$1,277.24	$2,308.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $288.00 / $905.55	Professional		$54.56	$288.00	$905.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $258.60 / $415.42 / $893.15	Facility		$258.60	$415.42	$893.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $728.38 / $1,066.71 / $1,554.77	Professional		$728.38	$1,066.71	$1,554.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,473.76 / $1,473.76 / $1,473.76	Facility		$1,473.76	$1,473.76	$1,473.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $596.11 / $1,970.19 / $3,452.96	Professional		$596.11	$1,970.19	$3,452.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $554.23 / $1,317.36 / $1,993.19	Professional		$554.23	$1,317.36	$1,993.19
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 $488.65 / $1,229.48 / $1,872.98	Professional		$488.65	$1,229.48	$1,872.98