Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.34 / $985.86 / $14,482.00	Facility		$349.34	$985.86	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.80 / $450.07 / $1,067.01	Professional		$298.80	$450.07	$1,067.01
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 $393.27 / $913.13 / $2,621.62	Professional		$393.27	$913.13	$2,621.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,267.88 / $1,481.61 / $2,272.83	Facility		$1,267.88	$1,481.61	$2,272.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.15 / $1,009.64 / $1,970.81	Professional		$428.15	$1,009.64	$1,970.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $320.61 / $489.08 / $916.32	Facility		$320.61	$489.08	$916.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $320.61 / $509.23 / $5,080.00	Facility		$320.61	$509.23	$5,080.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.78 / $1,578.15 / $3,530.88	Professional		$467.78	$1,578.15	$3,530.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $419.24 / $1,020.00	Professional		$50.00	$419.24	$1,020.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $320.57 / $487.66 / $916.32	Facility		$320.57	$487.66	$916.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $711.80 / $1,105.92 / $1,646.62	Professional		$711.80	$1,105.92	$1,646.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $542.29 / $2,244.48 / $7,929.30	Facility		$542.29	$2,244.48	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $580.90 / $2,016.18 / $3,530.88	Professional		$580.90	$2,016.18	$3,530.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,101.52 / $1,588.53 / $2,406.39	Professional		$1,101.52	$1,588.53	$2,406.39
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 $449.46 / $959.34 / $2,059.60	Professional		$449.46	$959.34	$2,059.60