Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.49 / $504.96 / $14,482.00	Facility		$141.49	$504.96	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.34 / $400.23 / $577.48	Professional		$122.34	$400.23	$577.48
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 $187.44 / $584.09 / $2,070.29	Professional		$187.44	$584.09	$2,070.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,206.59 / $1,410.01 / $2,162.98	Facility		$1,206.59	$1,410.01	$2,162.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.42 / $531.01 / $1,851.04	Professional		$204.42	$531.01	$1,851.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $123.20 / $325.00 / $751.54	Facility		$123.20	$325.00	$751.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.70 / $400.23 / $4,614.00	Facility		$125.70	$400.23	$4,614.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $432.35 / $1,449.60 / $3,275.20	Professional		$432.35	$1,449.60	$3,275.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $383.86 / $920.49	Professional		$50.00	$383.86	$920.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $123.20 / $325.00 / $751.54	Facility		$123.20	$325.00	$751.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $292.75 / $598.61 / $1,484.23	Professional		$292.75	$598.61	$1,484.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $219.22 / $911.52 / $7,929.30	Facility		$219.22	$911.52	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $248.69 / $1,667.33 / $3,275.20	Professional		$248.69	$1,667.33	$3,275.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $470.47 / $648.38 / $2,260.11	Professional		$470.47	$648.38	$2,260.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,280.00 / $8,384.00	Facility		$4,918.00	$7,280.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $425.75 / $886.10 / $1,903.70	Professional		$425.75	$886.10	$1,903.70