Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.75 / $1,143.32 / $14,482.00	Facility		$197.75	$1,143.32	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.99 / $469.17 / $843.02	Professional		$168.99	$469.17	$843.02
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 $261.97 / $777.46 / $2,697.30	Professional		$261.97	$777.46	$2,697.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,508.47 / $1,762.77 / $2,704.14	Facility		$1,508.47	$1,762.77	$2,704.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.32 / $743.39 / $2,318.40	Professional		$283.32	$743.39	$2,318.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $179.16 / $464.55 / $922.32	Facility		$179.16	$464.55	$922.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.16 / $508.60 / $4,614.00	Facility		$179.16	$508.60	$4,614.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $520.73 / $1,807.57 / $4,108.64	Professional		$520.73	$1,807.57	$4,108.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $475.49 / $1,130.25	Professional		$50.00	$475.49	$1,130.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $177.74 / $462.00 / $922.32	Facility		$177.74	$462.00	$922.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $413.73 / $812.83 / $1,881.69	Professional		$413.73	$812.83	$1,881.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $310.67 / $1,276.20 / $7,929.30	Facility		$310.67	$1,276.20	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $348.13 / $2,096.03 / $4,108.64	Professional		$348.13	$2,096.03	$4,108.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $645.96 / $907.67 / $2,830.79	Professional		$645.96	$907.67	$2,830.79
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 $520.73 / $1,096.19 / $2,366.56	Professional		$520.73	$1,096.19	$2,366.56