Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.83 / $3,119.00 / $14,745.43	Facility		$405.83	$3,119.00	$14,745.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.59 / $431.79 / $1,571.30	Professional		$377.59	$431.79	$1,571.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.80 / $965.97 / $2,105.15	Professional		$366.80	$965.97	$2,105.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.72 / $1,142.54 / $1,842.87	Facility		$977.72	$1,142.54	$1,842.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.04 / $1,177.13 / $1,566.25	Professional		$514.04	$1,177.13	$1,566.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $379.50 / $474.82 / $741.75	Facility		$379.50	$474.82	$741.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $405.83 / $3,242.00 / $6,312.00	Facility		$405.83	$3,242.00	$6,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $419.47 / $840.70 / $1,861.28	Professional		$419.47	$840.70	$1,861.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $332.79 / $817.45	Professional		$57.73	$332.79	$817.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $379.50 / $474.82 / $741.75	Facility		$379.50	$474.82	$741.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $738.40 / $1,140.20 / $1,343.09	Professional		$738.40	$1,140.20	$1,343.09
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 $524.57 / $1,822.85 / $2,807.84	Professional		$524.57	$1,822.85	$2,807.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,086.06 / $1,822.42 / $1,822.42	Professional		$1,086.06	$1,822.42	$1,822.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $3,827.00 / $6,564.00	Facility		$2,883.00	$3,827.00	$6,564.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.54 / $1,272.34 / $1,727.35	Professional		$433.54	$1,272.34	$1,727.35