Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.01 / $834.32 / $3,119.00	Facility		$338.01	$834.32	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.52 / $420.07 / $1,158.45	Professional		$306.52	$420.07	$1,158.45
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 $399.08 / $996.13 / $2,373.35	Professional		$399.08	$996.13	$2,373.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,084.05 / $1,266.80 / $2,043.30	Facility		$1,084.05	$1,266.80	$2,043.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.63 / $1,113.74 / $1,684.59	Professional		$460.63	$1,113.74	$1,684.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $337.25 / $451.76 / $766.16	Facility		$337.25	$451.76	$766.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.01 / $669.16 / $8,384.00	Facility		$338.01	$669.16	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $455.74 / $1,385.85 / $2,515.03	Professional		$455.74	$1,385.85	$2,515.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.06 / $317.83 / $839.42	Professional		$34.06	$317.83	$839.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $338.01 / $451.76 / $766.16	Facility		$338.01	$451.76	$766.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $672.84 / $975.80 / $1,434.13	Professional		$672.84	$975.80	$1,434.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,153.10 / $2,153.10 / $2,153.10	Facility		$2,153.10	$2,153.10	$2,153.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $428.71 / $1,723.37 / $3,009.28	Professional		$428.71	$1,723.37	$3,009.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,136.25 / $1,545.34 / $2,056.89	Professional		$1,136.25	$1,545.34	$2,056.89
United Facility/Professional Facility Modifier Low / Median / High Price $5,080.00 / $7,611.00 / $9,134.00	Facility		$5,080.00	$7,611.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $423.19 / $1,187.06 / $2,069.23	Professional		$423.19	$1,187.06	$2,069.23