Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.81 / $374.81 / $14,482.00	Facility		$374.81	$374.81	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.24 / $384.02 / $609.28	Professional		$355.24	$384.02	$609.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,684.00 / $4,193.00 / $5,962.00	Facility		$1,684.00	$4,193.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.92 / $864.95 / $2,312.14	Professional		$368.92	$864.95	$2,312.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $957.89 / $1,119.36 / $1,717.14	Facility		$957.89	$1,119.36	$1,717.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.17 / $1,492.02 / $1,949.64	Professional		$536.17	$1,492.02	$1,949.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $374.81 / $492.32 / $794.60	Facility		$374.81	$492.32	$794.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $384.02 / $692.10 / $1,778.00	Facility		$384.02	$692.10	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $386.14 / $744.82 / $4,017.65	Professional		$386.14	$744.82	$4,017.65
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 $374.81 / $491.91 / $794.60	Facility		$374.81	$491.91	$794.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $737.06 / $935.35 / $1,341.14	Professional		$737.06	$935.35	$1,341.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,633.00 / $3,633.00 / $3,633.00	Facility		$3,633.00	$3,633.00	$3,633.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $692.84 / $1,855.75 / $4,017.65	Professional		$692.84	$1,855.75	$4,017.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,251.26 / $2,251.26 / $2,251.26	Professional		$2,251.26	$2,251.26	$2,251.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $386.41 / $751.48 / $1,688.73	Professional		$386.41	$751.48	$1,688.73