Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.81 / $928.55 / $3,119.00	Facility		$273.81	$928.55	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.81 / $435.82 / $988.27	Professional		$273.81	$435.82	$988.27
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 $430.56 / $972.20 / $2,477.91	Professional		$430.56	$972.20	$2,477.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,247.15 / $1,457.39 / $2,350.71	Facility		$1,247.15	$1,457.39	$2,350.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.26 / $954.54 / $1,681.81	Professional		$426.26	$954.54	$1,681.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $273.81 / $495.23 / $887.28	Facility		$273.81	$495.23	$887.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $315.45 / $612.29 / $8,103.00	Facility		$315.45	$612.29	$8,103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $499.37 / $1,418.70 / $2,779.23	Professional		$499.37	$1,418.70	$2,779.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $564.54 / $1,138.31	Professional		$85.00	$564.54	$1,138.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $273.81 / $495.23 / $887.28	Facility		$273.81	$495.23	$887.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $620.84 / $1,031.22 / $1,597.29	Professional		$620.84	$1,031.22	$1,597.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,424.08 / $1,424.08 / $1,424.08	Facility		$1,424.08	$1,424.08	$1,424.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $412.74 / $1,991.88 / $4,764.99	Professional		$412.74	$1,991.88	$4,764.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,302.56 / $1,592.08 / $2,798.53	Professional		$1,302.56	$1,592.08	$2,798.53
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $479.27 / $1,345.45 / $2,249.82	Professional		$479.27	$1,345.45	$2,249.82