Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.58 / $839.18 / $14,482.00	Facility		$370.58	$839.18	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.58 / $425.30 / $1,654.00	Professional		$370.58	$425.30	$1,654.00
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 $382.95 / $893.55 / $2,279.29	Professional		$382.95	$893.55	$2,279.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,066.93 / $1,246.79 / $1,912.60	Facility		$1,066.93	$1,246.79	$1,912.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.75 / $1,579.44 / $1,794.81	Professional		$601.75	$1,579.44	$1,794.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $370.58 / $518.80 / $840.48	Facility		$370.58	$518.80	$840.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $372.97 / $667.04 / $7,891.00	Facility		$372.97	$667.04	$7,891.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $418.64 / $765.28 / $3,232.86	Professional		$418.64	$765.28	$3,232.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $321.79 / $841.70	Professional		$62.75	$321.79	$841.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $370.58 / $518.80 / $840.48	Facility		$370.58	$518.80	$840.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $812.50 / $990.00 / $1,477.88	Professional		$812.50	$990.00	$1,477.88
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 Professional Modifier Low / Median / High Price $793.51 / $1,915.85 / $3,232.86	Professional		$793.51	$1,915.85	$3,232.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,080.04 / $2,183.21 / $2,365.10	Professional		$1,080.04	$2,183.21	$2,365.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.64 / $744.77 / $1,724.27	Professional		$418.64	$744.77	$1,724.27