Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.75 / $406.13 / $723.81	Facility		$182.75	$406.13	$723.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.75 / $220.38 / $881.44	Professional		$182.75	$220.38	$881.44
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 $197.89 / $546.39 / $1,477.81	Professional		$197.89	$546.39	$1,477.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.33 / $592.86 / $956.26	Facility		$507.33	$592.86	$956.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.44 / $766.02 / $870.48	Professional		$375.44	$766.02	$870.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $182.75 / $242.16 / $388.08	Facility		$182.75	$242.16	$388.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $198.55 / $3,036.00 / $6,312.00	Facility		$198.55	$3,036.00	$6,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.88 / $536.65 / $1,337.15	Professional		$236.88	$536.65	$1,337.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $274.81 / $486.99	Professional		$85.00	$274.81	$486.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $182.75 / $242.16 / $388.08	Facility		$182.75	$242.16	$388.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $429.65 / $661.00 / $888.33	Professional		$429.65	$661.00	$888.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,000.63 / $1,000.63 / $1,000.63	Facility		$1,000.63	$1,000.63	$1,000.63
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $100.06 / $100.06 / $100.06	Facility	AS	$100.06	$100.06	$100.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $384.83 / $1,086.00 / $1,876.09	Professional		$384.83	$1,086.00	$1,876.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $673.07 / $1,147.04 / $1,147.04	Professional		$673.07	$1,147.04	$1,147.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.88 / $667.90 / $986.21	Professional		$236.88	$667.90	$986.21