Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.66 / $897.40 / $14,482.00	Facility		$296.66	$897.40	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.77 / $296.66 / $1,101.38	Professional		$230.77	$296.66	$1,101.38
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 $239.45 / $666.27 / $1,427.42	Professional		$239.45	$666.27	$1,427.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $634.39 / $741.33 / $1,195.74	Facility		$634.39	$741.33	$1,195.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.06 / $751.01 / $1,017.19	Professional		$356.06	$751.01	$1,017.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $268.55 / $362.49 / $1,711.63	Facility		$268.55	$362.49	$1,711.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $273.69 / $1,711.63 / $8,783.00	Facility		$273.69	$1,711.63	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $283.91 / $785.90 / $1,688.09	Professional		$283.91	$785.90	$1,688.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $337.64 / $629.93	Professional		$85.00	$337.64	$629.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $268.55 / $362.49 / $1,711.63	Facility		$268.55	$362.49	$1,711.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $484.25 / $747.76 / $966.83	Professional		$484.25	$747.76	$966.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,133.70 / $9,133.70 / $9,133.70	Facility		$9,133.70	$9,133.70	$9,133.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $341.56 / $1,189.40 / $2,788.71	Professional		$341.56	$1,189.40	$2,788.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $620.11 / $1,465.69 / $1,465.69	Professional		$620.11	$1,465.69	$1,465.69
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 $265.62 / $717.97 / $1,063.32	Professional		$265.62	$717.97	$1,063.32