Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.25 / $1,260.38 / $14,482.00	Facility		$376.25	$1,260.38	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.46 / $345.90 / $786.17	Professional		$225.46	$345.90	$786.17
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 $248.25 / $749.25 / $1,982.12	Professional		$248.25	$749.25	$1,982.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $901.12 / $1,053.03 / $1,615.38	Facility		$901.12	$1,053.03	$1,615.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.24 / $810.00 / $1,406.90	Professional		$319.24	$810.00	$1,406.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $156.88 / $345.74 / $613.21	Facility		$156.88	$345.74	$613.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $178.78 / $376.25 / $6,055.00	Facility		$178.78	$376.25	$6,055.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $306.36 / $709.03 / $2,528.56	Professional		$306.36	$709.03	$2,528.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $288.33 / $787.73	Professional		$32.22	$288.33	$787.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $341.95 / $613.21	Facility		$154.88	$341.95	$613.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $649.05 / $877.86 / $1,389.94	Professional		$649.05	$877.86	$1,389.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $386.86 / $7,929.30 / $7,929.30	Facility		$386.86	$7,929.30	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $399.91 / $1,611.75 / $2,528.56	Professional		$399.91	$1,611.75	$2,528.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $796.68 / $1,337.25 / $1,717.83	Professional		$796.68	$1,337.25	$1,717.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $7,611.00 / $8,788.00	Facility		$4,614.00	$7,611.00	$8,788.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.07 / $605.05 / $1,454.60	Professional		$315.07	$605.05	$1,454.60