Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.33 / $745.72 / $14,482.00	Facility		$462.33	$745.72	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.27 / $462.33 / $1,407.51	Professional		$263.27	$462.33	$1,407.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $9,096.00 / $15,579.70	Facility		$1,979.00	$9,096.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.40 / $828.05 / $2,172.67	Professional		$369.40	$828.05	$2,172.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $928.15 / $1,084.61 / $1,749.46	Facility		$928.15	$1,084.61	$1,749.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.72 / $1,124.71 / $1,487.66	Professional		$629.72	$1,124.71	$1,487.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $364.57 / $517.16 / $719.35	Facility		$364.57	$517.16	$719.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $414.73 / $9,781.00 / $16,779.00	Facility		$414.73	$9,781.00	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $444.12 / $1,285.85 / $2,067.58	Professional		$444.12	$1,285.85	$2,067.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $528.30 / $862.53	Professional		$85.00	$528.30	$862.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $364.57 / $517.16 / $719.35	Facility		$364.57	$517.16	$719.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $735.80 / $1,136.19 / $1,512.11	Professional		$735.80	$1,136.19	$1,512.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,615.30 / $22,615.30 / $22,615.30	Facility		$22,615.30	$22,615.30	$22,615.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $645.62 / $1,842.20 / $2,759.44	Professional		$645.62	$1,842.20	$2,759.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,693.28 / $2,520.25 / $2,520.25	Professional		$1,693.28	$2,520.25	$2,520.25
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $12,373.00 / $15,090.00	Facility		$7,984.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.12 / $1,191.18 / $1,805.44	Professional		$444.12	$1,191.18	$1,805.44