Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $1,153.58 / $14,482.00	Facility		$163.96	$1,153.58	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.88 / $566.66 / $1,016.17	Professional		$152.88	$566.66	$1,016.17
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 $206.79 / $760.35 / $2,887.33	Professional		$206.79	$760.35	$2,887.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,567.05 / $1,831.22 / $2,433.84	Facility		$1,567.05	$1,831.22	$2,433.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.37 / $595.78 / $2,060.34	Professional		$207.37	$595.78	$2,060.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $389.13 / $1,130.71	Facility		$160.00	$389.13	$1,130.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $623.00 / $1,789.00	Facility		$163.96	$623.00	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $608.11 / $2,195.65 / $4,275.92	Professional		$608.11	$2,195.65	$4,275.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $318.85 / $534.65 / $1,383.53	Professional		$318.85	$534.65	$1,383.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $389.13 / $1,130.71	Facility		$163.96	$389.13	$1,130.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $312.70 / $643.70 / $1,913.49	Professional		$312.70	$643.70	$1,913.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $332.79 / $938.28 / $8,734.00	Facility		$332.79	$938.28	$8,734.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.89 / $2,212.15 / $4,275.92	Professional		$309.89	$2,212.15	$4,275.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $627.15 / $896.73 / $4,062.85	Professional		$627.15	$896.73	$4,062.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,533.00 / $2,202.90	Facility		$1,008.00	$1,533.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $608.11 / $1,330.17 / $2,558.79	Professional		$608.11	$1,330.17	$2,558.79