Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.64 / $554.32 / $6,461.00	Facility		$105.64	$554.32	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.64 / $524.86 / $825.74	Professional		$105.64	$524.86	$825.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.39 / $802.50 / $3,010.94	Professional		$237.39	$802.50	$3,010.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,717.53 / $2,007.08 / $3,237.34	Facility		$1,717.53	$2,007.08	$3,237.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.07 / $1,128.06 / $2,209.44	Professional		$234.07	$1,128.06	$2,209.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $113.63 / $261.58 / $1,123.50	Facility		$113.63	$261.58	$1,123.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.99 / $1,123.50 / $4,195.00	Facility		$124.99	$1,123.50	$4,195.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $873.76 / $2,177.66 / $3,336.98	Professional		$873.76	$2,177.66	$3,336.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $594.07 / $1,538.14	Professional		$85.00	$594.07	$1,538.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $113.63 / $261.58 / $1,123.50	Facility		$113.63	$261.58	$1,123.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $282.42 / $590.39 / $2,157.69	Professional		$282.42	$590.39	$2,157.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $579.08 / $579.08 / $579.08	Facility		$579.08	$579.08	$579.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.80 / $1,659.86 / $4,647.04	Professional		$239.80	$1,659.86	$4,647.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $529.95 / $1,579.16 / $2,724.13	Professional		$529.95	$1,579.16	$2,724.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $797.58 / $2,039.46 / $3,179.70	Professional		$797.58	$2,039.46	$3,179.70