Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.56 / $5,551.80 / $12,220.79	Facility		$428.56	$5,551.80	$12,220.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.60 / $452.03 / $2,152.65	Professional		$340.60	$452.03	$2,152.65
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 $491.95 / $1,160.33 / $2,294.36	Professional		$491.95	$1,160.33	$2,294.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,343.57 / $1,570.07 / $2,532.46	Facility		$1,343.57	$1,570.07	$2,532.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.75 / $1,185.73 / $1,935.92	Professional		$769.75	$1,185.73	$1,935.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $393.06 / $560.58 / $1,004.37	Facility		$393.06	$560.58	$1,004.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $411.03 / $803.37 / $8,384.00	Facility		$411.03	$803.37	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $565.12 / $1,349.17 / $3,060.32	Professional		$565.12	$1,349.17	$3,060.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.27 / $325.82 / $1,050.87	Professional		$63.27	$325.82	$1,050.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $340.60 / $545.92 / $1,004.37	Facility		$340.60	$545.92	$1,004.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $937.59 / $1,249.78 / $1,773.99	Professional		$937.59	$1,249.78	$1,773.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,953.68 / $1,953.68 / $1,953.68	Facility		$1,953.68	$1,953.68	$1,953.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $863.66 / $2,155.23 / $3,814.08	Professional		$863.66	$2,155.23	$3,814.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $852.66 / $1,735.13 / $2,180.34	Professional		$852.66	$1,735.13	$2,180.34
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 $552.08 / $1,280.93 / $1,978.47	Professional		$552.08	$1,280.93	$1,978.47