Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.88 / $8,901.25 / $52,917.88	Facility		$379.88	$8,901.25	$52,917.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.88 / $561.80 / $3,927.00	Professional		$379.88	$561.80	$3,927.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,908.00 / $15,579.70	Facility		$6,538.00	$10,908.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.72 / $974.18 / $2,196.10	Professional		$346.72	$974.18	$2,196.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $899.32 / $1,050.92 / $1,695.10	Facility		$899.32	$1,050.92	$1,695.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.58 / $1,085.21 / $1,545.98	Professional		$524.58	$1,085.21	$1,545.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $357.28 / $430.38 / $2,017.24	Facility		$357.28	$430.38	$2,017.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $379.88 / $2,269.87 / $12,622.22	Facility		$379.88	$2,269.87	$12,622.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $451.80 / $1,052.84 / $2,556.96	Professional		$451.80	$1,052.84	$2,556.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $589.04 / $862.07	Professional		$85.00	$589.04	$862.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $357.28 / $430.38 / $2,017.24	Facility		$357.28	$430.38	$2,017.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $695.50 / $1,073.96 / $1,265.06	Professional		$695.50	$1,073.96	$1,265.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,623.50 / $12,623.50 / $12,623.50	Facility		$12,623.50	$12,623.50	$12,623.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $539.16 / $2,315.59 / $7,725.84	Professional		$539.16	$2,315.59	$7,725.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $858.73 / $1,888.72 / $1,888.72	Professional		$858.73	$1,888.72	$1,888.72
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.48 / $1,052.95 / $1,523.09	Professional		$416.48	$1,052.95	$1,523.09