Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.30 / $699.59 / $3,732.79	Facility		$272.30	$699.59	$3,732.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.32 / $363.45 / $1,009.71	Professional		$245.32	$363.45	$1,009.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.14 / $781.76 / $1,838.30	Professional		$325.14	$781.76	$1,838.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.53 / $1,059.34 / $1,708.69	Facility		$906.53	$1,059.34	$1,708.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.12 / $747.45 / $1,199.58	Professional		$370.12	$747.45	$1,199.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $263.27 / $416.94 / $694.62	Facility		$263.27	$416.94	$694.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $272.30 / $522.26 / $5,801.00	Facility		$272.30	$522.26	$5,801.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $391.15 / $1,117.05 / $2,313.14	Professional		$391.15	$1,117.05	$2,313.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $460.56 / $899.24	Professional		$85.00	$460.56	$899.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $263.27 / $416.94 / $694.62	Facility		$263.27	$416.94	$694.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $523.97 / $783.91 / $1,214.22	Professional		$523.97	$783.91	$1,214.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,859.62 / $1,859.62 / $1,859.62	Facility		$1,859.62	$1,859.62	$1,859.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $313.48 / $1,449.95 / $2,547.92	Professional		$313.48	$1,449.95	$2,547.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $748.96 / $1,345.24 / $2,060.17	Professional		$748.96	$1,345.24	$2,060.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $382.43 / $987.42 / $1,457.04	Professional		$382.43	$987.42	$1,457.04