Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.92 / $760.34 / $14,482.00	Facility		$333.92	$760.34	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.19 / $370.84 / $1,436.20	Professional		$298.19	$370.84	$1,436.20
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 $341.86 / $775.23 / $2,024.71	Professional		$341.86	$775.23	$2,024.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $964.20 / $1,126.74 / $1,728.45	Facility		$964.20	$1,126.74	$1,728.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.39 / $1,427.49 / $1,622.15	Professional		$552.39	$1,427.49	$1,622.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $333.92 / $478.60 / $844.80	Facility		$333.92	$478.60	$844.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $337.93 / $712.91 / $7,891.00	Facility		$337.93	$712.91	$7,891.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $373.53 / $699.40 / $4,131.06	Professional		$373.53	$699.40	$4,131.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $304.86 / $819.63	Professional		$62.75	$304.86	$819.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $333.92 / $478.60 / $844.80	Facility		$333.92	$478.60	$844.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $741.00 / $902.88 / $1,347.82	Professional		$741.00	$902.88	$1,347.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,900.50 / $1,900.50 / $5,246.20	Facility		$1,900.50	$1,900.50	$5,246.20
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $3,107.91 / $3,107.91 / $3,107.91	Facility	62	$3,107.91	$3,107.91	$3,107.91
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $497.27 / $497.27 / $497.27	Facility	AS	$497.27	$497.27	$497.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $717.15 / $1,720.60 / $4,131.06	Professional		$717.15	$1,720.60	$4,131.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,284.60 / $1,987.40 / $2,137.52	Professional		$1,284.60	$1,987.40	$2,137.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.53 / $699.40 / $1,558.86	Professional		$373.53	$699.40	$1,558.86