Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.55 / $776.12 / $3,119.00	Facility		$317.55	$776.12	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.62 / $371.87 / $1,067.68	Professional		$274.62	$371.87	$1,067.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.41 / $948.64 / $2,184.73	Professional		$375.41	$948.64	$2,184.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $997.54 / $1,165.70 / $1,880.24	Facility		$997.54	$1,165.70	$1,880.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.03 / $1,037.85 / $1,550.74	Professional		$439.03	$1,037.85	$1,550.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $290.57 / $422.10 / $741.62	Facility		$290.57	$422.10	$741.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.98 / $589.40 / $8,292.34	Facility		$316.98	$589.40	$8,292.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $433.60 / $1,319.53 / $2,415.69	Professional		$433.60	$1,319.53	$2,415.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.91 / $313.32 / $789.86	Professional		$37.91	$313.32	$789.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $273.00 / $422.10 / $741.62	Facility		$273.00	$422.10	$741.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $631.35 / $912.36 / $1,371.51	Professional		$631.35	$912.36	$1,371.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,002.56 / $2,002.56 / $2,002.56	Facility		$2,002.56	$2,002.56	$2,002.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $399.50 / $1,586.43 / $2,769.12	Professional		$399.50	$1,586.43	$2,769.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.20 / $1,440.02 / $1,893.42	Professional		$1,096.20	$1,440.02	$1,893.42
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.60 / $1,284.59 / $2,004.76	Professional		$433.60	$1,284.59	$2,004.76