Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.58 / $840.49 / $14,482.00	Facility		$311.58	$840.49	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.52 / $354.63 / $1,216.70	Professional		$233.52	$354.63	$1,216.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,193.00 / $5,962.00	Facility		$1,183.00	$3,193.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.97 / $971.62 / $2,033.98	Professional		$419.97	$971.62	$2,033.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,065.11 / $1,244.68 / $1,909.37	Facility		$1,065.11	$1,244.68	$1,909.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.60 / $848.38 / $1,368.35	Professional		$437.60	$848.38	$1,368.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.60 / $438.58 / $734.20	Facility		$302.60	$438.58	$734.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $318.25 / $565.54 / $3,995.00	Facility		$318.25	$565.54	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.80 / $1,160.93 / $4,954.00	Professional		$457.80	$1,160.93	$4,954.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $656.89 / $968.38	Professional		$85.00	$656.89	$968.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $302.60 / $438.58 / $747.10	Facility		$302.60	$438.58	$747.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $659.65 / $935.76 / $1,365.90	Professional		$659.65	$935.76	$1,365.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,331.60 / $1,331.60 / $1,331.60	Facility		$1,331.60	$1,331.60	$1,331.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $486.66 / $1,392.10 / $4,954.00	Professional		$486.66	$1,392.10	$4,954.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $909.23 / $1,549.85 / $2,192.44	Professional		$909.23	$1,549.85	$2,192.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $2,910.00 / $4,295.00	Facility		$2,367.00	$2,910.00	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $447.95 / $1,160.93 / $1,605.15	Professional		$447.95	$1,160.93	$1,605.15