Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $782.27 / $2,677.36	Facility		$162.00	$782.27	$2,677.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $677.87 / $1,305.70	Professional		$162.00	$677.87	$1,305.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.01 / $1,007.84 / $3,511.67	Professional		$300.01	$1,007.84	$3,511.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,032.03 / $2,374.58 / $3,830.12	Facility		$2,032.03	$2,374.58	$3,830.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.54 / $663.26 / $2,691.26	Professional		$265.54	$663.26	$2,691.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $330.10 / $1,098.82	Facility		$162.00	$330.10	$1,098.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $175.64 / $1,098.82 / $8,384.00	Facility		$175.64	$1,098.82	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $834.37 / $2,300.46 / $4,092.26	Professional		$834.37	$2,300.46	$4,092.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $693.83 / $1,800.17	Professional		$85.00	$693.83	$1,800.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $330.10 / $1,098.82	Facility		$162.00	$330.10	$1,098.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $369.44 / $701.35 / $2,563.23	Professional		$369.44	$701.35	$2,563.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,330.15 / $1,330.15 / $1,330.15	Facility		$1,330.15	$1,330.15	$1,330.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $222.38 / $2,206.02 / $5,505.44	Professional		$222.38	$2,206.02	$5,505.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $943.58 / $3,083.62 / $4,478.22	Professional		$943.58	$3,083.62	$4,478.22
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $835.28 / $2,391.44 / $4,092.26	Professional		$835.28	$2,391.44	$4,092.26