Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.19 / $2,379.81 / $6,612.98	Facility		$204.19	$2,379.81	$6,612.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.13 / $263.45 / $1,118.81	Professional		$98.13	$263.45	$1,118.81
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 $144.76 / $582.86 / $3,497.52	Professional		$144.76	$582.86	$3,497.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,826.57 / $2,134.48 / $3,274.37	Facility		$1,826.57	$2,134.48	$3,274.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $412.32 / $2,789.25	Professional		$164.75	$412.32	$2,789.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $99.83 / $294.00 / $1,082.44	Facility		$99.83	$294.00	$1,082.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.43 / $624.04 / $3,242.00	Facility		$99.43	$624.04	$3,242.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $642.76 / $1,849.04 / $4,913.76	Professional		$642.76	$1,849.04	$4,913.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $928.83 / $1,507.36	Professional		$85.00	$928.83	$1,507.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $99.83 / $294.00 / $1,082.44	Facility		$99.83	$294.00	$1,082.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $224.04 / $692.06 / $2,184.89	Professional		$224.04	$692.06	$2,184.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $169.35 / $585.10 / $585.10	Facility		$169.35	$585.10	$585.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $191.95 / $2,152.64 / $4,913.76	Professional		$191.95	$2,152.64	$4,913.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $436.61 / $1,645.85 / $3,405.68	Professional		$436.61	$1,645.85	$3,405.68
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 $460.94 / $851.33 / $2,664.95	Professional		$460.94	$851.33	$2,664.95