Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.27 / $816.47 / $14,482.00	Facility		$569.27	$816.47	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.47 / $595.46 / $1,969.15	Professional		$375.47	$595.46	$1,969.15
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 $439.56 / $749.42 / $1,767.60	Professional		$439.56	$749.42	$1,767.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,457.11 / $1,702.75 / $2,746.47	Facility		$1,457.11	$1,702.75	$2,746.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.56 / $1,082.92 / $1,961.00	Professional		$468.56	$1,082.92	$1,961.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $396.09 / $589.27 / $979.76	Facility		$396.09	$589.27	$979.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $420.64 / $784.34 / $8,384.00	Facility		$420.64	$784.34	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $536.66 / $1,127.54 / $4,008.88	Professional		$536.66	$1,127.54	$4,008.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $287.53 / $831.14	Professional		$30.95	$287.53	$831.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $375.47 / $589.27 / $1,003.75	Facility		$375.47	$589.27	$1,003.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $737.75 / $1,202.34 / $1,718.98	Professional		$737.75	$1,202.34	$1,718.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,676.90 / $2,676.90 / $2,676.90	Facility		$2,676.90	$2,676.90	$2,676.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $641.72 / $2,307.06 / $4,008.88	Professional		$641.72	$2,307.06	$4,008.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,563.67 / $3,708.79 / $5,271.05	Professional		$1,563.67	$3,708.79	$5,271.05
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 $491.06 / $1,003.46 / $2,240.04	Professional		$491.06	$1,003.46	$2,240.04