Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.78 / $1,901.34 / $11,586.80	Facility		$388.78	$1,901.34	$11,586.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.63 / $501.71 / $1,872.23	Professional		$330.63	$501.71	$1,872.23
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 $436.09 / $1,010.86 / $2,845.21	Professional		$436.09	$1,010.86	$2,845.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,373.31 / $1,604.82 / $2,461.83	Facility		$1,373.31	$1,604.82	$2,461.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.33 / $1,081.66 / $2,138.98	Professional		$483.33	$1,081.66	$2,138.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $364.48 / $558.24 / $1,001.30	Facility		$364.48	$558.24	$1,001.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $367.79 / $575.70 / $5,080.00	Facility		$367.79	$575.70	$5,080.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $526.37 / $1,724.06 / $3,837.36	Professional		$526.37	$1,724.06	$3,837.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $474.32 / $1,136.18	Professional		$50.00	$474.32	$1,136.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $364.48 / $552.80 / $1,006.38	Facility		$364.48	$552.80	$1,006.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $786.91 / $1,196.08 / $1,779.49	Professional		$786.91	$1,196.08	$1,779.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $601.40 / $2,498.52 / $7,929.30	Facility		$601.40	$2,498.52	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $652.72 / $2,188.21 / $3,837.36	Professional		$652.72	$2,188.21	$3,837.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,236.17 / $1,768.17 / $2,611.67	Professional		$1,236.17	$1,768.17	$2,611.67
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 $506.25 / $1,047.17 / $2,245.92	Professional		$506.25	$1,047.17	$2,245.92