Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.15 / $725.40 / $3,119.00	Facility		$387.15	$725.40	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.50 / $453.87 / $1,226.22	Professional		$328.50	$453.87	$1,226.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $472.23 / $974.18 / $2,613.31	Professional		$472.23	$974.18	$2,613.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,310.23 / $1,531.11 / $2,348.76	Facility		$1,310.23	$1,531.11	$2,348.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $741.46 / $1,795.63	Professional		$422.89	$741.46	$1,795.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $386.88 / $611.49 / $1,346.10	Facility		$386.88	$611.49	$1,346.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $387.15 / $897.40 / $7,791.00	Facility		$387.15	$897.40	$7,791.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $504.17 / $941.03 / $3,112.00	Professional		$504.17	$941.03	$3,112.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $383.38 / $966.61	Professional		$29.98	$383.38	$966.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $386.88 / $611.49 / $1,346.10	Facility		$386.88	$611.49	$1,346.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $778.44 / $1,134.58 / $1,653.70	Professional		$778.44	$1,134.58	$1,653.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $680.26 / $909.17 / $2,476.19	Facility		$680.26	$909.17	$2,476.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $498.87 / $1,694.10 / $3,652.32	Professional		$498.87	$1,694.10	$3,652.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,324.47 / $1,769.42 / $2,491.44	Professional		$1,324.47	$1,769.42	$2,491.44
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.12 / $772.94 / $2,073.23	Professional		$473.12	$772.94	$2,073.23