Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.27 / $1,293.34 / $14,482.00	Facility		$447.27	$1,293.34	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.61 / $447.27 / $1,293.74	Professional		$251.61	$447.27	$1,293.74
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 $351.99 / $865.83 / $2,159.23	Professional		$351.99	$865.83	$2,159.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $910.13 / $1,063.56 / $1,715.49	Facility		$910.13	$1,063.56	$1,715.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.30 / $1,093.39 / $1,489.63	Professional		$663.30	$1,093.39	$1,489.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $335.98 / $556.99 / $1,092.00	Facility		$335.98	$556.99	$1,092.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $387.04 / $6,241.00 / $12,216.00	Facility		$387.04	$6,241.00	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $435.35 / $1,075.30 / $2,067.44	Professional		$435.35	$1,075.30	$2,067.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.40 / $327.41 / $752.99	Professional		$68.40	$327.41	$752.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $335.98 / $556.99 / $1,092.00	Facility		$335.98	$556.99	$1,092.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $721.50 / $1,114.10 / $1,470.01	Professional		$721.50	$1,114.10	$1,470.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,011.04 / $9,011.04 / $9,011.04	Facility		$9,011.04	$9,011.04	$9,011.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $680.49 / $1,753.20 / $2,673.28	Professional		$680.49	$1,753.20	$2,673.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,647.81 / $2,450.05 / $2,450.05	Professional		$1,647.81	$2,450.05	$2,450.05
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $421.43 / $1,078.14 / $1,794.55	Professional		$421.43	$1,078.14	$1,794.55