Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.89 / $606.58 / $5,793.40	Facility		$251.89	$606.58	$5,793.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.90 / $283.06 / $1,191.81	Professional		$218.90	$283.06	$1,191.81
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 $299.73 / $705.93 / $1,456.44	Professional		$299.73	$705.93	$1,456.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $785.78 / $918.24 / $1,481.09	Facility		$785.78	$918.24	$1,481.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.28 / $688.30 / $1,092.73	Professional		$348.28	$688.30	$1,092.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $251.89 / $324.83 / $579.62	Facility		$251.89	$324.83	$579.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $259.89 / $453.82 / $8,129.86	Facility		$259.89	$453.82	$8,129.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $306.27 / $786.42 / $1,738.16	Professional		$306.27	$786.42	$1,738.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.60 / $391.46 / $735.24	Professional		$149.60	$391.46	$735.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $251.89 / $324.83 / $579.62	Facility		$251.89	$324.83	$579.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $525.75 / $707.61 / $1,005.03	Professional		$525.75	$707.61	$1,005.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,098.40 / $1,098.40 / $1,098.40	Facility		$1,098.40	$1,098.40	$1,098.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $358.94 / $1,259.91 / $2,219.44	Professional		$358.94	$1,259.91	$2,219.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $672.34 / $1,257.41 / $1,618.31	Professional		$672.34	$1,257.41	$1,618.31
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 $291.69 / $695.80 / $1,163.88	Professional		$291.69	$695.80	$1,163.88