Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.18 / $1,536.12 / $18,867.57	Facility		$202.18	$1,536.12	$18,867.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.16 / $728.02 / $1,390.58	Professional		$182.16	$728.02	$1,390.58
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 $374.41 / $1,167.89 / $3,659.57	Professional		$374.41	$1,167.89	$3,659.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,112.23 / $2,468.30 / $3,981.28	Facility		$2,112.23	$2,468.30	$3,981.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.25 / $775.91 / $2,804.60	Professional		$334.25	$775.91	$2,804.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $202.18 / $390.33 / $1,467.85	Facility		$202.18	$390.33	$1,467.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $202.18 / $1,004.40 / $8,384.00	Facility		$202.18	$1,004.40	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $752.51 / $2,483.66 / $4,681.22	Professional		$752.51	$2,483.66	$4,681.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $735.88 / $1,918.82	Professional		$85.00	$735.88	$1,918.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $202.18 / $390.33 / $1,467.85	Facility		$202.18	$390.33	$1,467.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $458.74 / $825.31 / $2,624.71	Professional		$458.74	$825.31	$2,624.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,259.58 / $1,259.58 / $1,259.58	Facility		$1,259.58	$1,259.58	$1,259.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $303.95 / $2,912.26 / $8,265.00	Professional		$303.95	$2,912.26	$8,265.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $965.90 / $1,172.45 / $4,666.85	Professional		$965.90	$1,172.45	$4,666.85
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 $752.51 / $2,178.76 / $3,723.33	Professional		$752.51	$2,178.76	$3,723.33