Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.75 / $678.76 / $6,461.00	Facility		$306.75	$678.76	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.92 / $359.87 / $875.78	Professional		$247.92	$359.87	$875.78
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 $333.83 / $736.72 / $1,871.84	Professional		$333.83	$736.72	$1,871.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $893.01 / $1,043.55 / $1,683.21	Facility		$893.01	$1,043.55	$1,683.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.57 / $825.70 / $1,314.97	Professional		$451.57	$825.70	$1,314.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $218.40 / $386.14 / $648.59	Facility		$218.40	$386.14	$648.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $262.08 / $530.55 / $11,598.00	Facility		$262.08	$530.55	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $409.77 / $1,125.74 / $1,983.66	Professional		$409.77	$1,125.74	$1,983.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.03 / $482.32 / $783.40	Professional		$158.03	$482.32	$783.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $218.40 / $386.14 / $648.59	Facility		$218.40	$386.14	$648.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $572.48 / $803.79 / $1,157.18	Professional		$572.48	$803.79	$1,157.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,167.56 / $1,167.56 / $1,167.56	Facility		$1,167.56	$1,167.56	$1,167.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $467.38 / $1,432.40 / $2,534.56	Professional		$467.38	$1,432.40	$2,534.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,287.83 / $1,682.78 / $2,360.85	Professional		$1,287.83	$1,682.78	$2,360.85
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 $397.87 / $1,055.83 / $1,636.78	Professional		$397.87	$1,055.83	$1,636.78