Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.52 / $3,126.78 / $9,796.68	Facility		$272.52	$3,126.78	$9,796.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.36 / $289.50 / $1,785.00	Professional		$200.36	$289.50	$1,785.00
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 $200.96 / $486.12 / $1,254.39	Professional		$200.96	$486.12	$1,254.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $568.61 / $664.46 / $1,019.30	Facility		$568.61	$664.46	$1,019.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.60 / $676.27 / $890.35	Professional		$251.60	$676.27	$890.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $206.13 / $280.00 / $487.82	Facility		$206.13	$280.00	$487.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $206.13 / $319.70 / $7,318.00	Facility		$206.13	$319.70	$7,318.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $214.73 / $475.25 / $1,603.12	Professional		$214.73	$475.25	$1,603.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $293.48 / $446.27	Professional		$102.59	$293.48	$446.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $206.13 / $280.00 / $487.82	Facility		$206.13	$280.00	$487.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $391.80 / $522.53 / $900.72	Professional		$391.80	$522.53	$900.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $242.90 / $7,909.30 / $7,909.30	Facility		$242.90	$7,909.30	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $301.58 / $1,001.45 / $1,603.12	Professional		$301.58	$1,001.45	$1,603.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $773.24 / $773.24 / $773.24	Professional		$773.24	$773.24	$773.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $552.65 / $1,087.14 / $1,087.14	Professional		$552.65	$1,087.14	$1,087.14
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,280.00 / $8,384.00	Facility		$4,918.00	$7,280.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.45 / $404.42 / $903.81	Professional		$206.45	$404.42	$903.81