Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.20 / $765.56 / $14,482.00	Facility		$553.20	$765.56	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.24 / $553.20 / $1,364.40	Professional		$362.24	$553.20	$1,364.40
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 $363.08 / $714.26 / $1,720.71	Professional		$363.08	$714.26	$1,720.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,032.68 / $1,206.77 / $1,946.48	Facility		$1,032.68	$1,206.77	$1,946.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.40 / $867.62 / $1,405.91	Professional		$409.40	$867.62	$1,405.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $340.25 / $481.88 / $754.36	Facility		$340.25	$481.88	$754.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.95 / $663.84 / $8,384.00	Facility		$354.95	$663.84	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $377.03 / $830.98 / $2,896.64	Professional		$377.03	$830.98	$2,896.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $189.71 / $616.06	Professional		$30.95	$189.71	$616.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $340.25 / $481.88 / $758.22	Facility		$340.25	$481.88	$758.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $716.95 / $917.93 / $1,274.90	Professional		$716.95	$917.93	$1,274.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,594.16 / $2,594.16 / $2,594.16	Facility		$2,594.16	$2,594.16	$2,594.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $611.45 / $1,796.00 / $2,896.64	Professional		$611.45	$1,796.00	$2,896.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,571.23 / $3,592.35 / $3,779.03	Professional		$1,571.23	$3,592.35	$3,779.03
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 $377.03 / $807.26 / $1,678.39	Professional		$377.03	$807.26	$1,678.39