Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.28 / $1,403.66 / $14,482.00	Facility		$421.28	$1,403.66	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.48 / $378.18 / $776.00	Professional		$207.48	$378.18	$776.00
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 $266.12 / $769.70 / $2,214.59	Professional		$266.12	$769.70	$2,214.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,003.85 / $1,173.08 / $1,799.53	Facility		$1,003.85	$1,173.08	$1,799.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.53 / $917.35 / $1,571.89	Professional		$336.53	$917.35	$1,571.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $226.79 / $385.04 / $752.59	Facility		$226.79	$385.04	$752.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.37 / $420.05 / $6,055.00	Facility		$239.37	$420.05	$6,055.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $333.14 / $799.66 / $2,829.52	Professional		$333.14	$799.66	$2,829.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $351.05 / $858.58	Professional		$50.00	$351.05	$858.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $219.15 / $380.28 / $758.78	Facility		$219.15	$380.28	$758.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $691.82 / $968.54 / $1,409.72	Professional		$691.82	$968.54	$1,409.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $430.39 / $7,929.30 / $7,929.30	Facility		$430.39	$7,929.30	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $413.68 / $1,817.40 / $2,829.52	Professional		$413.68	$1,817.40	$2,829.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $792.69 / $1,394.36 / $1,919.30	Professional		$792.69	$1,394.36	$1,919.30
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 $337.95 / $723.03 / $1,659.29	Professional		$337.95	$723.03	$1,659.29