Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.11 / $1,580.42 / $19,290.72	Facility		$189.11	$1,580.42	$19,290.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $605.97 / $1,409.73	Professional		$152.63	$605.97	$1,409.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.55 / $997.42 / $4,026.65	Professional		$275.55	$997.42	$4,026.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,132.05 / $2,491.46 / $4,018.65	Facility		$2,132.05	$2,491.46	$4,018.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.22 / $1,334.58 / $2,835.72	Professional		$305.22	$1,334.58	$2,835.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $173.58 / $298.30 / $1,361.29	Facility		$173.58	$298.30	$1,361.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $189.10 / $916.00 / $1,789.00	Facility		$189.10	$916.00	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $854.86 / $2,931.04 / $4,951.85	Professional		$854.86	$2,931.04	$4,951.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $723.88 / $1,930.15	Professional		$85.00	$723.88	$1,930.15
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $173.58 / $298.30 / $1,361.29	Facility		$173.58	$298.30	$1,361.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $352.66 / $823.35 / $2,599.39	Professional		$352.66	$823.35	$2,599.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,271.89 / $1,271.89 / $1,271.89	Facility		$1,271.89	$1,271.89	$1,271.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $277.20 / $2,943.38 / $6,462.52	Professional		$277.20	$2,943.38	$6,462.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $783.47 / $1,028.00 / $5,510.16	Professional		$783.47	$1,028.00	$5,510.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $854.86 / $2,675.72 / $3,935.67	Professional		$854.86	$2,675.72	$3,935.67