Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.29 / $5,379.48 / $11,146.65	Facility		$245.29	$5,379.48	$11,146.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.29 / $346.99 / $1,804.38	Professional		$245.29	$346.99	$1,804.38
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 $241.51 / $634.38 / $1,657.01	Professional		$241.51	$634.38	$1,657.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $622.66 / $727.64 / $1,173.66	Facility		$622.66	$727.64	$1,173.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.34 / $755.32 / $996.44	Professional		$359.34	$755.32	$996.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $245.29 / $338.11 / $1,391.13	Facility		$245.29	$338.11	$1,391.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.29 / $2,758.05 / $8,783.00	Facility		$245.29	$2,758.05	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $285.62 / $698.16 / $1,657.20	Professional		$285.62	$698.16	$1,657.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $330.32 / $634.49	Professional		$85.00	$330.32	$634.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $245.29 / $356.02 / $1,391.13	Facility		$245.29	$356.02	$1,391.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $474.50 / $732.70 / $998.07	Professional		$474.50	$732.70	$998.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $9,388.90 / $9,388.90	Facility		$9,388.90	$9,388.90	$9,388.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $336.59 / $1,194.95 / $2,104.00	Professional		$336.59	$1,194.95	$2,104.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $634.44 / $1,428.19 / $1,428.19	Professional		$634.44	$1,428.19	$1,428.19
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 $278.02 / $698.16 / $1,169.17	Professional		$278.02	$698.16	$1,169.17