Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.50 / $896.40 / $3,119.00	Facility		$247.50	$896.40	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.50 / $513.75 / $1,089.80	Professional		$247.50	$513.75	$1,089.80
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 $436.44 / $1,033.95 / $2,524.48	Professional		$436.44	$1,033.95	$2,524.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,443.59 / $1,686.95 / $2,721.00	Facility		$1,443.59	$1,686.95	$2,721.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.70 / $867.16 / $1,934.70	Professional		$406.70	$867.16	$1,934.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $247.50 / $489.38 / $1,014.37	Facility		$247.50	$489.38	$1,014.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $262.50 / $692.68 / $8,103.00	Facility		$262.50	$692.68	$8,103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $573.48 / $1,630.27 / $3,234.43	Professional		$573.48	$1,630.27	$3,234.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $673.10 / $1,297.63	Professional		$85.00	$673.10	$1,297.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $247.50 / $480.61 / $1,014.37	Facility		$247.50	$480.61	$1,014.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $564.08 / $1,008.46 / $1,821.92	Professional		$564.08	$1,008.46	$1,821.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,143.88 / $1,143.88 / $1,143.88	Facility		$1,143.88	$1,143.88	$1,143.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $374.07 / $2,039.22 / $4,157.26	Professional		$374.07	$2,039.22	$4,157.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,180.78 / $1,442.97 / $3,219.32	Professional		$1,180.78	$1,442.97	$3,219.32
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 $544.66 / $1,502.57 / $2,469.05	Professional		$544.66	$1,502.57	$2,469.05