Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.57 / $2,484.91 / $16,007.88	Facility		$287.57	$2,484.91	$16,007.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.79 / $310.25 / $1,565.00	Professional		$268.79	$310.25	$1,565.00
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 $282.88 / $751.44 / $1,941.90	Professional		$282.88	$751.44	$1,941.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $729.91 / $852.95 / $1,375.79	Facility		$729.91	$852.95	$1,375.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.07 / $885.78 / $1,168.24	Professional		$422.07	$885.78	$1,168.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $287.57 / $396.03 / $2,343.69	Facility		$287.57	$396.03	$2,343.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $287.57 / $3,193.00 / $8,783.00	Facility		$287.57	$3,193.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $335.35 / $818.63 / $1,942.22	Professional		$335.35	$818.63	$1,942.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $387.10 / $634.49	Professional		$85.00	$387.10	$634.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $287.57 / $417.48 / $2,343.69	Facility		$287.57	$417.48	$2,343.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $555.75 / $858.16 / $1,169.73	Professional		$555.75	$858.16	$1,169.73
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 $394.73 / $1,402.95 / $3,506.00	Professional		$394.73	$1,402.95	$3,506.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,299.83 / $1,674.93 / $1,674.93	Professional		$1,299.83	$1,674.93	$1,674.93
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 $299.89 / $818.63 / $1,370.70	Professional		$299.89	$818.63	$1,370.70