Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.64 / $1,468.64 / $14,314.58	Facility		$174.64	$1,468.64	$14,314.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.64 / $714.61 / $2,697.00	Professional		$174.64	$714.61	$2,697.00
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 $309.00 / $1,036.95 / $3,504.96	Professional		$309.00	$1,036.95	$3,504.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,025.72 / $2,367.21 / $3,818.23	Facility		$2,025.72	$2,367.21	$3,818.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.16 / $972.57 / $2,686.14	Professional		$288.16	$972.57	$2,686.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $174.64 / $360.17 / $1,403.37	Facility		$174.64	$360.17	$1,403.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $198.45 / $961.30 / $8,384.00	Facility		$198.45	$961.30	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $722.09 / $2,378.13 / $4,485.60	Professional		$722.09	$2,378.13	$4,485.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $693.02 / $1,788.84	Professional		$85.00	$693.02	$1,788.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $174.64 / $342.90 / $1,403.37	Facility		$174.64	$342.90	$1,403.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $396.92 / $750.67 / $2,507.66	Professional		$396.92	$750.67	$2,507.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,304.26 / $1,304.26 / $1,304.26	Facility		$1,304.26	$1,304.26	$1,304.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $262.76 / $2,782.20 / $8,718.02	Professional		$262.76	$2,782.20	$8,718.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $833.72 / $1,013.57 / $4,469.67	Professional		$833.72	$1,013.57	$4,469.67
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 $751.02 / $2,085.26 / $3,915.07	Professional		$751.02	$2,085.26	$3,915.07