Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.04 / $425.48 / $14,482.00	Facility		$210.04	$425.48	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.65 / $216.51 / $832.38	Professional		$196.65	$216.51	$832.38
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 $205.96 / $549.25 / $1,418.35	Professional		$205.96	$549.25	$1,418.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $533.46 / $623.39 / $1,005.51	Facility		$533.46	$623.39	$1,005.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.75 / $646.38 / $853.28	Professional		$281.75	$646.38	$853.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $210.04 / $276.89 / $784.87	Facility		$210.04	$276.89	$784.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $210.04 / $2,586.00 / $6,150.00	Facility		$210.04	$2,586.00	$6,150.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.52 / $562.57 / $1,415.13	Professional		$244.52	$562.57	$1,415.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $282.01 / $558.47	Professional		$85.00	$282.01	$558.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $210.04 / $276.89 / $784.87	Facility		$210.04	$276.89	$784.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $406.90 / $628.32 / $852.28	Professional		$406.90	$628.32	$852.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,444.45 / $5,444.45 / $5,444.45	Facility		$5,444.45	$5,444.45	$5,444.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $288.05 / $1,022.85 / $1,955.80	Professional		$288.05	$1,022.85	$1,955.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $324.95 / $1,222.26 / $1,222.26	Professional		$324.95	$1,222.26	$1,222.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,523.30 / $6,564.00	Facility		$2,960.00	$4,523.30	$6,564.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.62 / $616.78 / $1,001.14	Professional		$243.62	$616.78	$1,001.14