Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.50 / $687.51 / $14,482.00	Facility		$240.50	$687.51	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.73 / $305.99 / $565.29	Professional		$207.73	$305.99	$565.29
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 $270.81 / $644.82 / $1,835.31	Professional		$270.81	$644.82	$1,835.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $901.12 / $1,053.03 / $1,615.38	Facility		$901.12	$1,053.03	$1,615.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.45 / $700.10 / $1,394.36	Professional		$298.45	$700.10	$1,394.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $220.34 / $363.68 / $644.29	Facility		$220.34	$363.68	$644.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $224.42 / $366.67 / $4,614.00	Facility		$224.42	$366.67	$4,614.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $342.33 / $1,117.55 / $2,482.80	Professional		$342.33	$1,117.55	$2,482.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $263.68 / $713.85	Professional		$32.22	$263.68	$713.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $220.34 / $362.34 / $644.29	Facility		$220.34	$362.34	$644.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $479.73 / $758.07 / $1,133.33	Professional		$479.73	$758.07	$1,133.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $362.63 / $1,534.62 / $7,909.30	Facility		$362.63	$1,534.62	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $341.06 / $1,426.46 / $2,482.80	Professional		$341.06	$1,426.46	$2,482.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $789.78 / $1,100.30 / $1,702.54	Professional		$789.78	$1,100.30	$1,702.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,754.00 / $8,384.00	Facility		$4,103.00	$6,754.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.99 / $707.35 / $1,457.49	Professional		$322.99	$707.35	$1,457.49