Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.38 / $748.94 / $14,482.00	Facility		$296.38	$748.94	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $354.00 / $619.72	Professional		$257.45	$354.00	$619.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.55 / $767.05 / $1,997.55	Professional		$320.55	$767.05	$1,997.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $973.21 / $1,137.27 / $1,744.61	Facility		$973.21	$1,137.27	$1,744.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.72 / $762.52 / $1,510.98	Professional		$346.72	$762.52	$1,510.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $258.83 / $398.89 / $713.88	Facility		$258.83	$398.89	$713.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $258.83 / $414.93 / $2,783.00	Facility		$258.83	$414.93	$2,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $375.33 / $1,224.39 / $2,696.72	Professional		$375.33	$1,224.39	$2,696.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $281.10 / $737.26	Professional		$32.22	$281.10	$737.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $398.89 / $713.88	Facility		$257.45	$398.89	$713.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $560.71 / $850.26 / $1,260.28	Professional		$560.71	$850.26	$1,260.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $443.02 / $1,867.68 / $7,909.30	Facility		$443.02	$1,867.68	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $396.39 / $1,545.75 / $2,696.72	Professional		$396.39	$1,545.75	$2,696.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,006.50 / $1,341.85 / $1,844.88	Professional		$1,006.50	$1,341.85	$1,844.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,628.00 / $5,471.00	Facility		$2,781.00	$3,628.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $359.64 / $721.18 / $1,596.84	Professional		$359.64	$721.18	$1,596.84