Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.08 / $887.09 / $14,482.00	Facility		$292.08	$887.09	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.44 / $394.97 / $887.09	Professional		$251.44	$394.97	$887.09
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 $323.76 / $834.10 / $2,218.85	Professional		$323.76	$834.10	$2,218.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,169.65 / $1,366.83 / $2,096.76	Facility		$1,169.65	$1,366.83	$2,096.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.28 / $838.33 / $1,811.76	Professional		$363.28	$838.33	$1,811.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $259.43 / $424.17 / $754.98	Facility		$259.43	$424.17	$754.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $265.04 / $435.82 / $4,103.00	Facility		$265.04	$435.82	$4,103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $401.87 / $1,316.04 / $3,228.96	Professional		$401.87	$1,316.04	$3,228.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $368.91 / $907.91	Professional		$50.00	$368.91	$907.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $258.19 / $417.18 / $754.98	Facility		$258.19	$417.18	$754.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $581.57 / $951.75 / $1,466.06	Professional		$581.57	$951.75	$1,466.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $446.22 / $1,872.72 / $2,000.00	Facility		$446.22	$1,872.72	$2,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $408.12 / $1,853.46 / $3,228.96	Professional		$408.12	$1,853.46	$3,228.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $916.19 / $1,339.56 / $2,212.12	Professional		$916.19	$1,339.56	$2,212.12
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 $391.44 / $857.25 / $1,839.57	Professional		$391.44	$857.25	$1,839.57