Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.71 / $908.30 / $14,482.00	Facility		$204.71	$908.30	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.10 / $511.08 / $949.35	Professional		$139.10	$511.08	$949.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,300.00 / $5,962.00	Facility		$1,905.00	$3,300.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.18 / $880.06 / $3,558.12	Professional		$258.18	$880.06	$3,558.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,878.84 / $2,195.57 / $2,918.09	Facility		$1,878.84	$2,195.57	$2,918.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.98 / $663.26 / $2,469.15	Professional		$256.98	$663.26	$2,469.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $184.25 / $577.33 / $1,222.46	Facility		$184.25	$577.33	$1,222.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $184.25 / $793.29 / $3,995.00	Facility		$184.25	$793.29	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $735.87 / $2,389.91 / $5,114.96	Professional		$735.87	$2,389.91	$5,114.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $376.89 / $630.98 / $1,622.52	Professional		$376.89	$630.98	$1,622.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $184.25 / $577.33 / $1,222.46	Facility		$184.25	$577.33	$1,222.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $377.07 / $775.58 / $2,295.05	Professional		$377.07	$775.58	$2,295.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $414.71 / $1,142.04 / $1,142.04	Facility		$414.71	$1,142.04	$1,142.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $356.01 / $2,606.64 / $5,114.96	Professional		$356.01	$2,606.64	$5,114.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $751.33 / $2,393.73 / $4,869.03	Professional		$751.33	$2,393.73	$4,869.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,865.00	Facility		$2,976.00	$3,827.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $735.87 / $2,023.09 / $2,998.79	Professional		$735.87	$2,023.09	$2,998.79