Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.11 / $1,558.68 / $14,217.90	Facility		$282.11	$1,558.68	$14,217.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.62 / $265.18 / $627.25	Professional		$128.62	$265.18	$627.25
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 $189.52 / $500.53 / $1,523.73	Professional		$189.52	$500.53	$1,523.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $844.35 / $986.69 / $1,513.61	Facility		$844.35	$986.69	$1,513.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.57 / $495.75 / $1,301.81	Professional		$218.57	$495.75	$1,301.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $128.62 / $244.08 / $527.24	Facility		$128.62	$244.08	$527.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.84 / $283.25 / $5,080.00	Facility		$130.84	$283.25	$5,080.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $279.22 / $927.39 / $2,315.60	Professional		$279.22	$927.39	$2,315.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $247.12 / $652.20	Professional		$32.22	$247.12	$652.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $125.38 / $240.76 / $539.46	Facility		$125.38	$240.76	$539.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $307.00 / $599.62 / $1,056.10	Professional		$307.00	$599.62	$1,056.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $233.97 / $971.94 / $7,929.30	Facility		$233.97	$971.94	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.83 / $1,198.18 / $2,315.60	Professional		$263.83	$1,198.18	$2,315.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $473.29 / $687.85 / $1,589.52	Professional		$473.29	$687.85	$1,589.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $7,012.14 / $8,384.00	Facility		$4,103.00	$7,012.14	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.58 / $562.82 / $1,291.61	Professional		$275.58	$562.82	$1,291.61