Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.66 / $1,732.65 / $9,321.89	Facility		$287.66	$1,732.65	$9,321.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.84 / $392.38 / $742.57	Professional		$138.84	$392.38	$742.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.48 / $647.07 / $1,783.84	Professional		$259.48	$647.07	$1,783.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,018.27 / $1,189.92 / $1,919.31	Facility		$1,018.27	$1,189.92	$1,919.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.68 / $495.91 / $1,357.68	Professional		$231.68	$495.91	$1,357.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $140.63 / $286.27 / $700.84	Facility		$140.63	$286.27	$700.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $140.63 / $518.97 / $8,103.00	Facility		$140.63	$518.97	$8,103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $435.06 / $1,221.42 / $2,491.19	Professional		$435.06	$1,221.42	$2,491.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $417.54 / $926.76	Professional		$85.00	$417.54	$926.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $140.63 / $280.47 / $700.84	Facility		$140.63	$280.47	$700.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $321.35 / $580.80 / $1,254.42	Professional		$321.35	$580.80	$1,254.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $654.52 / $654.52 / $654.52	Facility		$654.52	$654.52	$654.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.92 / $1,607.99 / $3,502.01	Professional		$213.92	$1,607.99	$3,502.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $674.38 / $825.19 / $2,259.16	Professional		$674.38	$825.19	$2,259.16
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $435.06 / $1,195.45 / $1,882.04	Professional		$435.06	$1,195.45	$1,882.04