Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.46 / $1,894.00 / $14,482.00	Facility		$141.46	$1,894.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.26 / $506.06 / $957.26	Professional		$67.26	$506.06	$957.26
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 $101.95 / $556.05 / $3,027.81	Professional		$101.95	$556.05	$3,027.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,578.76 / $1,844.91 / $2,830.14	Facility		$1,578.76	$1,844.91	$2,830.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.34 / $413.90 / $2,410.34	Professional		$109.34	$413.90	$2,410.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $71.50 / $251.99 / $943.90	Facility		$71.50	$251.99	$943.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.27 / $429.60 / $3,242.00	Facility		$73.27	$429.60	$3,242.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $568.86 / $1,903.77 / $4,244.64	Professional		$568.86	$1,903.77	$4,244.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $762.99 / $1,323.56	Professional		$85.00	$762.99	$1,323.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $71.50 / $251.99 / $942.48	Facility		$71.50	$251.99	$942.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.59 / $599.98 / $1,894.18	Professional		$154.59	$599.98	$1,894.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $119.08 / $1,016.43 / $4,901.45	Facility		$119.08	$1,016.43	$4,901.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $132.62 / $2,132.69 / $4,244.64	Professional		$132.62	$2,132.69	$4,244.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $265.17 / $491.86 / $2,942.99	Professional		$265.17	$491.86	$2,942.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,628.00 / $5,471.00	Facility		$2,781.00	$3,628.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $560.03 / $1,156.76 / $2,624.11	Professional		$560.03	$1,156.76	$2,624.11