Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.34 / $3,119.00 / $17,823.00	Facility		$334.34	$3,119.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.81 / $329.48 / $415.11	Professional		$282.81	$329.48	$415.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $7,344.00	Facility		$2,740.00	$4,931.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.64 / $685.83 / $1,751.28	Professional		$289.64	$685.83	$1,751.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $800.19 / $935.09 / $1,434.45	Facility		$800.19	$935.09	$1,434.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.20 / $880.01 / $1,320.90	Professional		$341.20	$880.01	$1,320.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $284.19 / $377.08 / $604.91	Facility		$284.19	$377.08	$604.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $285.52 / $438.91 / $4,377.80	Facility		$285.52	$438.91	$4,377.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.51 / $652.27 / $2,251.36	Professional		$316.51	$652.27	$2,251.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,090.23	Professional		$50.00	$70.00	$1,090.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $283.50 / $377.08 / $604.91	Facility		$283.50	$377.08	$604.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $555.00 / $732.60 / $1,093.63	Professional		$555.00	$732.60	$1,093.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $346.31 / $3,728.65 / $3,728.65	Facility		$346.31	$3,728.65	$3,728.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $419.27 / $1,443.15 / $2,251.36	Professional		$419.27	$1,443.15	$2,251.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $362.38 / $383.70 / $1,155.74	Professional		$362.38	$383.70	$1,155.74
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 $303.95 / $577.26 / $1,302.44	Professional		$303.95	$577.26	$1,302.44