Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.52 / $627.53 / $14,482.00	Facility		$251.52	$627.53	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.03 / $291.00 / $627.53	Professional		$216.03	$291.00	$627.53
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 $270.30 / $610.90 / $1,647.37	Professional		$270.30	$610.90	$1,647.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.81 / $949.83 / $1,457.07	Facility		$812.81	$949.83	$1,457.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.08 / $633.05 / $1,268.51	Professional		$302.08	$633.05	$1,268.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $210.25 / $306.32 / $588.34	Facility		$210.25	$306.32	$588.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.79 / $325.80 / $2,783.00	Facility		$213.79	$325.80	$2,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $315.35 / $1,005.55 / $2,276.00	Professional		$315.35	$1,005.55	$2,276.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $220.86 / $587.21	Professional		$32.22	$220.86	$587.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $208.01 / $304.52 / $588.34	Facility		$208.01	$304.52	$588.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $482.30 / $724.12 / $1,042.48	Professional		$482.30	$724.12	$1,042.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $385.13 / $1,606.44 / $3,728.65	Facility		$385.13	$1,606.44	$3,728.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $349.96 / $1,297.71 / $2,276.00	Professional		$349.96	$1,297.71	$2,276.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $802.95 / $1,146.82 / $1,548.89	Professional		$802.95	$1,146.82	$1,548.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $287.68 / $578.10 / $1,284.81	Professional		$287.68	$578.10	$1,284.81