Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.29 / $1,257.30 / $14,482.00	Facility		$374.29	$1,257.30	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.32 / $444.12 / $1,282.83	Professional		$315.32	$444.12	$1,282.83
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 $388.88 / $944.64 / $2,567.21	Professional		$388.88	$944.64	$2,567.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,275.08 / $1,490.04 / $2,285.76	Facility		$1,275.08	$1,490.04	$2,285.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.36 / $1,035.39 / $1,974.73	Professional		$420.36	$1,035.39	$1,974.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $333.39 / $484.90 / $880.61	Facility		$333.39	$484.90	$880.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $332.20 / $504.41 / $5,080.00	Facility		$332.20	$504.41	$5,080.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $441.16 / $1,529.74 / $3,522.00	Professional		$441.16	$1,529.74	$3,522.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $437.06 / $1,060.17	Professional		$50.00	$437.06	$1,060.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $330.73 / $480.72 / $880.61	Facility		$330.73	$480.72	$880.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $733.43 / $1,104.95 / $1,629.59	Professional		$733.43	$1,104.95	$1,629.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $568.32 / $2,401.67 / $7,929.30	Facility		$568.32	$2,401.67	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $587.07 / $2,020.19 / $3,522.00	Professional		$587.07	$2,020.19	$3,522.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,146.86 / $1,714.77 / $2,411.14	Professional		$1,146.86	$1,714.77	$2,411.14
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 $437.25 / $870.44 / $2,312.56	Professional		$437.25	$870.44	$2,312.56