Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.49 / $948.00 / $7,385.28	Facility		$262.49	$948.00	$7,385.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.49 / $540.88 / $1,264.33	Professional		$262.49	$540.88	$1,264.33
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 $463.18 / $1,156.34 / $2,821.81	Professional		$463.18	$1,156.34	$2,821.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,614.81 / $1,887.03 / $3,043.71	Facility		$1,614.81	$1,887.03	$3,043.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.72 / $918.30 / $2,162.56	Professional		$431.72	$918.30	$2,162.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $262.49 / $508.28 / $1,137.89	Facility		$262.49	$508.28	$1,137.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.60 / $740.47 / $8,384.00	Facility		$302.60	$740.47	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $636.21 / $1,890.10 / $4,153.56	Professional		$636.21	$1,890.10	$4,153.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $770.21 / $1,470.80	Professional		$85.00	$770.21	$1,470.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $262.49 / $508.28 / $1,137.89	Facility		$262.49	$508.28	$1,137.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $596.14 / $1,075.52 / $2,005.23	Professional		$596.14	$1,075.52	$2,005.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,818.30 / $1,818.30 / $1,818.30	Facility		$1,818.30	$1,818.30	$1,818.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $396.13 / $2,277.76 / $9,121.74	Professional		$396.13	$2,277.76	$9,121.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,252.72 / $1,528.07 / $3,598.46	Professional		$1,252.72	$1,528.07	$3,598.46
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 $636.21 / $1,606.34 / $2,976.36	Professional		$636.21	$1,606.34	$2,976.36