Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $954.20 / $14,482.00	Facility		$471.00	$954.20	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.75 / $493.24 / $1,573.11	Professional		$440.75	$493.24	$1,573.11
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 $464.65 / $1,231.66 / $3,188.36	Professional		$464.65	$1,231.66	$3,188.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,192.18 / $1,393.16 / $2,247.12	Facility		$1,192.18	$1,393.16	$2,247.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $631.89 / $1,449.31 / $1,908.42	Professional		$631.89	$1,449.31	$1,908.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $650.51 / $2,720.75	Facility		$471.00	$650.51	$2,720.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $2,720.75 / $8,783.00	Facility		$471.00	$2,720.75	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $551.57 / $1,267.70 / $3,185.66	Professional		$551.57	$1,267.70	$3,185.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $635.66 / $1,108.89	Professional		$85.00	$635.66	$1,108.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $466.50 / $650.51 / $2,720.75	Facility		$466.50	$650.51	$2,720.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $911.30 / $1,407.19 / $1,918.59	Professional		$911.30	$1,407.19	$1,918.59
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 $645.85 / $2,304.90 / $3,856.00	Professional		$645.85	$2,304.90	$3,856.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,501.00 / $2,740.43 / $2,740.43	Professional		$1,501.00	$2,740.43	$2,740.43
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 $534.77 / $1,356.95 / $2,245.01	Professional		$534.77	$1,356.95	$2,245.01