Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $3,119.00 / $14,482.00	Facility		$229.09	$3,119.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $229.09 / $719.71	Professional		$218.00	$229.09	$719.71
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 $208.38 / $531.35 / $1,201.93	Professional		$208.38	$531.35	$1,201.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $553.29 / $646.55 / $1,042.88	Facility		$553.29	$646.55	$1,042.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.29 / $666.61 / $887.64	Professional		$291.29	$666.61	$887.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $204.10 / $268.04 / $1,044.83	Facility		$204.10	$268.04	$1,044.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $215.05 / $1,044.83 / $8,384.00	Facility		$215.05	$1,044.83	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $246.90 / $686.61 / $1,122.11	Professional		$246.90	$686.61	$1,122.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.34 / $282.34 / $446.27	Professional		$99.34	$282.34	$446.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $195.50 / $268.04 / $1,044.83	Facility		$195.50	$268.04	$1,044.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $421.20 / $650.40 / $766.13	Professional		$421.20	$650.40	$766.13
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 $297.06 / $1,037.05 / $2,710.26	Professional		$297.06	$1,037.05	$2,710.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $216.64 / $1,032.06 / $1,032.06	Professional		$216.64	$1,032.06	$1,032.06
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 $246.90 / $710.77 / $984.20	Professional		$246.90	$710.77	$984.20