Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.77 / $843.01 / $17,823.00	Facility		$76.77	$843.01	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.19 / $265.98 / $717.53	Professional		$68.19	$265.98	$717.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $6,558.00 / $10,382.04	Facility		$1,183.00	$6,558.00	$10,382.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.34 / $437.09 / $2,164.34	Professional		$123.34	$437.09	$2,164.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,141.72 / $1,334.19 / $1,773.25	Facility		$1,141.72	$1,334.19	$1,773.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $392.31 / $1,745.08	Professional		$123.03	$392.31	$1,745.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $74.89 / $198.80 / $717.53	Facility		$74.89	$198.80	$717.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.77 / $449.60 / $10,230.00	Facility		$76.77	$449.60	$10,230.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $434.62 / $1,321.23 / $3,076.08	Professional		$434.62	$1,321.23	$3,076.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.02 / $372.85 / $891.26	Professional		$223.02	$372.85	$891.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $74.89 / $198.80 / $717.53	Facility		$74.89	$198.80	$717.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.77 / $436.32 / $1,377.48	Professional		$158.77	$436.32	$1,377.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $179.24 / $739.75 / $739.75	Facility		$179.24	$739.75	$739.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.47 / $1,545.08 / $3,076.08	Professional		$173.47	$1,545.08	$3,076.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $347.91 / $1,107.17 / $2,130.71	Professional		$347.91	$1,107.17	$2,130.71
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,953.00 / $12,062.00	Facility		$6,241.00	$9,953.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $396.62 / $1,079.98 / $1,824.44	Professional		$396.62	$1,079.98	$1,824.44