Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.16 / $673.72 / $14,482.00	Facility		$484.16	$673.72	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.08 / $494.84 / $1,272.58	Professional		$309.08	$494.84	$1,272.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.39 / $625.11 / $1,499.12	Professional		$308.39	$625.11	$1,499.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.70 / $1,036.18 / $1,671.32	Facility		$886.70	$1,036.18	$1,671.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.20 / $719.80 / $1,200.94	Professional		$345.20	$719.80	$1,200.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $305.31 / $415.47 / $630.79	Facility		$305.31	$415.47	$630.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $314.01 / $572.57 / $1,789.00	Facility		$314.01	$572.57	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $319.87 / $719.80 / $2,473.40	Professional		$319.87	$719.80	$2,473.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $167.71 / $528.81	Professional		$30.95	$167.71	$528.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $305.31 / $415.47 / $671.29	Facility		$305.31	$415.47	$671.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $613.17 / $783.29 / $1,101.53	Professional		$613.17	$783.29	$1,101.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,278.86 / $2,278.86 / $2,278.86	Facility		$2,278.86	$2,278.86	$2,278.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $537.74 / $1,554.60 / $2,473.40	Professional		$537.74	$1,554.60	$2,473.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,317.20 / $3,159.22 / $3,228.00	Professional		$1,317.20	$3,159.22	$3,228.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,495.00 / $2,202.90	Facility		$1,008.00	$1,495.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $328.55 / $610.66 / $1,388.11	Professional		$328.55	$610.66	$1,388.11