Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.88 / $1,265.13 / $14,482.00	Facility		$142.88	$1,265.13	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.63 / $558.66 / $870.25	Professional		$127.63	$558.66	$870.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,344.00 / $10,382.04	Facility		$5,169.00	$7,344.00	$10,382.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.63 / $753.79 / $3,399.55	Professional		$202.63	$753.79	$3,399.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,702.22 / $1,989.17 / $3,051.44	Facility		$1,702.22	$1,989.17	$3,051.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.90 / $609.90 / $2,609.25	Professional		$208.90	$609.90	$2,609.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $130.10 / $543.40 / $1,075.96	Facility		$130.10	$543.40	$1,075.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $615.45 / $7,251.10	Facility		$129.88	$615.45	$7,251.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $785.20 / $2,223.87 / $4,609.28	Professional		$785.20	$2,223.87	$4,609.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $849.99 / $1,424.58	Professional		$85.00	$849.99	$1,424.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $130.10 / $543.40 / $1,075.96	Facility		$130.10	$543.40	$1,075.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $289.76 / $655.73 / $2,070.19	Professional		$289.76	$655.73	$2,070.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $222.24 / $1,004.29 / $1,004.29	Facility		$222.24	$1,004.29	$1,004.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $247.44 / $2,320.37 / $4,609.28	Professional		$247.44	$2,320.37	$4,609.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $580.72 / $2,075.73 / $3,185.91	Professional		$580.72	$2,075.73	$3,185.91
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,953.00 / $12,062.00	Facility		$4,240.00	$9,953.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $718.31 / $1,487.49 / $3,064.98	Professional		$718.31	$1,487.49	$3,064.98