Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.18 / $864.32 / $3,119.00	Facility		$286.18	$864.32	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.18 / $415.30 / $1,460.20	Professional		$286.18	$415.30	$1,460.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.66 / $972.20 / $2,397.80	Professional		$385.66	$972.20	$2,397.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,158.83 / $1,354.20 / $2,184.27	Facility		$1,158.83	$1,354.20	$2,184.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.03 / $911.38 / $1,568.16	Professional		$446.03	$911.38	$1,568.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $257.83 / $422.55 / $825.90	Facility		$257.83	$422.55	$825.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $277.89 / $564.40 / $5,801.00	Facility		$277.89	$564.40	$5,801.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $429.11 / $1,212.42 / $2,498.38	Professional		$429.11	$1,212.42	$2,498.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $500.18 / $1,058.65	Professional		$85.00	$500.18	$1,058.65
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $257.83 / $422.55 / $825.90	Facility		$257.83	$422.55	$825.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $649.05 / $971.07 / $1,488.52	Professional		$649.05	$971.07	$1,488.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,322.84 / $1,322.84 / $1,322.84	Facility		$1,322.84	$1,322.84	$1,322.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $407.01 / $1,857.29 / $3,263.76	Professional		$407.01	$1,857.29	$3,263.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,364.65 / $1,666.83 / $2,609.44	Professional		$1,364.65	$1,666.83	$2,609.44
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 $429.11 / $1,171.21 / $1,944.91	Professional		$429.11	$1,171.21	$1,944.91