Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.63 / $783.48 / $2,099.88	Facility		$82.63	$783.48	$2,099.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $519.29 / $1,006.51	Professional		$62.37	$519.29	$1,006.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,419.00 / $4,441.52	Facility		$1,139.00	$2,419.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $647.65 / $3,171.52	Professional		$95.20	$647.65	$3,171.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,605.80 / $1,876.50 / $2,878.60	Facility		$1,605.80	$1,876.50	$2,878.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.73 / $460.00 / $2,449.84	Professional		$102.73	$460.00	$2,449.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.88 / $531.70 / $1,125.86	Facility		$64.88	$531.70	$1,125.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.88 / $579.10 / $3,242.00	Facility		$64.88	$579.10	$3,242.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $708.44 / $2,150.81 / $4,312.47	Professional		$708.44	$2,150.81	$4,312.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $781.59 / $1,323.56	Professional		$85.00	$781.59	$1,323.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $65.12 / $523.66 / $1,125.86	Facility		$65.12	$523.66	$1,125.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.88 / $610.04 / $1,925.98	Professional		$144.88	$610.04	$1,925.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $111.56 / $1,033.46 / $1,033.46	Facility		$111.56	$1,033.46	$1,033.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $122.91 / $2,166.04 / $4,312.47	Professional		$122.91	$2,166.04	$4,312.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $241.30 / $320.45 / $2,991.26	Professional		$241.30	$320.45	$2,991.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $652.34 / $1,289.22 / $3,327.56	Professional		$652.34	$1,289.22	$3,327.56