Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.95 / $1,021.47 / $26,999.90	Facility		$308.95	$1,021.47	$26,999.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.25 / $308.95 / $635.62	Professional		$262.25	$308.95	$635.62
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 $280.20 / $633.77 / $1,636.82	Professional		$280.20	$633.77	$1,636.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $721.80 / $843.48 / $1,293.92	Facility		$721.80	$843.48	$1,293.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.13 / $960.73 / $1,149.30	Professional		$353.13	$960.73	$1,149.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $276.24 / $387.06 / $840.00	Facility		$276.24	$387.06	$840.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $274.17 / $431.77 / $4,377.80	Facility		$274.17	$431.77	$4,377.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.70 / $658.15 / $2,230.64	Professional		$302.70	$658.15	$2,230.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $473.57 / $705.94	Professional		$85.00	$473.57	$705.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $276.24 / $385.77 / $840.00	Facility		$276.24	$385.77	$840.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $503.40 / $671.37 / $1,162.70	Professional		$503.40	$671.37	$1,162.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $318.64 / $4,901.45 / $4,901.45	Facility		$318.64	$4,901.45	$4,901.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $455.01 / $1,390.50 / $2,230.64	Professional		$455.01	$1,390.50	$2,230.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $925.94 / $1,403.33 / $1,403.33	Professional		$925.94	$1,403.33	$1,403.33
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 $296.04 / $570.67 / $1,254.93	Professional		$296.04	$570.67	$1,254.93