Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.41 / $1,177.58 / $4,732.97	Facility		$75.41	$1,177.58	$4,732.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.41 / $486.65 / $2,098.71	Professional		$75.41	$486.65	$2,098.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.46 / $743.19 / $2,824.96	Professional		$169.46	$743.19	$2,824.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,603.99 / $1,874.39 / $3,023.33	Facility		$1,603.99	$1,874.39	$3,023.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.89 / $443.95 / $1,953.17	Professional		$166.89	$443.95	$1,953.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $81.01 / $186.29 / $1,059.85	Facility		$81.01	$186.29	$1,059.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $910.33 / $1,789.00	Facility		$89.11	$910.33	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $822.02 / $2,054.30 / $3,158.06	Professional		$822.02	$2,054.30	$3,158.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $562.02 / $1,462.13	Professional		$85.00	$562.02	$1,462.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $81.01 / $186.29 / $1,059.85	Facility		$81.01	$186.29	$1,059.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $203.28 / $608.97 / $2,001.63	Professional		$203.28	$608.97	$2,001.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $938.02 / $938.02 / $938.02	Facility		$938.02	$938.02	$938.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $170.43 / $1,566.65 / $4,320.88	Professional		$170.43	$1,566.65	$4,320.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $307.22 / $1,265.86 / $2,537.48	Professional		$307.22	$1,265.86	$2,537.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $762.33 / $1,819.51 / $2,996.93	Professional		$762.33	$1,819.51	$2,996.93