Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.56 / $1,817.70 / $26,894.80	Facility		$242.56	$1,817.70	$26,894.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.99 / $540.00 / $2,027.47	Professional		$127.99	$540.00	$2,027.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.02 / $763.74 / $2,529.46	Professional		$237.02	$763.74	$2,529.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,382.32 / $1,615.35 / $2,605.50	Facility		$1,382.32	$1,615.35	$2,605.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.56 / $491.41 / $1,833.71	Professional		$211.56	$491.41	$1,833.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $127.99 / $294.00 / $758.99	Facility		$127.99	$294.00	$758.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.32 / $758.99 / $5,801.00	Facility		$137.32	$758.99	$5,801.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $280.75 / $1,731.94 / $3,589.84	Professional		$280.75	$1,731.94	$3,589.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $462.55 / $1,200.11	Professional		$85.00	$462.55	$1,200.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $127.99 / $294.00 / $758.99	Facility		$127.99	$294.00	$758.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $285.47 / $533.79 / $1,754.53	Professional		$285.47	$533.79	$1,754.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,020.11 / $1,020.11 / $1,020.11	Facility		$1,020.11	$1,020.11	$1,020.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $191.62 / $1,890.04 / $3,753.52	Professional		$191.62	$1,890.04	$3,753.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $690.87 / $739.13 / $3,051.25	Professional		$690.87	$739.13	$3,051.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.02 / $1,731.95 / $2,573.90	Professional		$480.02	$1,731.95	$2,573.90