Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.33 / $743.28 / $14,482.00	Facility		$71.33	$743.28	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.91 / $480.39 / $825.33	Professional		$60.91	$480.39	$825.33
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 $94.49 / $567.16 / $3,267.91	Professional		$94.49	$567.16	$3,267.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,759.89 / $2,056.57 / $3,154.83	Facility		$1,759.89	$2,056.57	$3,154.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.82 / $325.79 / $2,681.83	Professional		$103.82	$325.79	$2,681.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.79 / $170.00 / $1,099.55	Facility		$64.79	$170.00	$1,099.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.93 / $480.24 / $3,014.84	Facility		$64.93	$480.24	$3,014.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $552.24 / $2,231.46 / $4,717.04	Professional		$552.24	$2,231.46	$4,717.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $800.30 / $1,488.00	Professional		$85.00	$800.30	$1,488.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $170.00 / $1,099.55	Facility		$64.00	$170.00	$1,099.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.87 / $658.61 / $2,079.28	Professional		$147.87	$658.61	$2,079.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $111.23 / $1,115.38 / $3,141.00	Facility		$111.23	$1,115.38	$3,141.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.25 / $2,377.71 / $4,717.04	Professional		$125.25	$2,377.71	$4,717.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $241.59 / $326.56 / $3,274.53	Professional		$241.59	$326.56	$3,274.53
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 $564.99 / $1,278.90 / $3,361.70	Professional		$564.99	$1,278.90	$3,361.70