Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.67 / $709.25 / $14,482.00	Facility		$509.67	$709.25	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.70 / $509.67 / $1,382.07	Professional		$324.70	$509.67	$1,382.07
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 $353.16 / $658.06 / $1,582.08	Professional		$353.16	$658.06	$1,582.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,177.76 / $1,376.31 / $2,219.94	Facility		$1,177.76	$1,376.31	$2,219.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.57 / $884.11 / $1,591.28	Professional		$393.57	$884.11	$1,591.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $377.15 / $509.67 / $774.26	Facility		$377.15	$509.67	$774.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $378.26 / $664.47 / $8,384.00	Facility		$378.26	$664.47	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $400.96 / $887.48 / $3,261.52	Professional		$400.96	$887.48	$3,261.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $235.64 / $690.43	Professional		$30.95	$235.64	$690.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $360.08 / $509.67 / $819.00	Facility		$360.08	$509.67	$819.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $663.65 / $1,023.86 / $1,404.18	Professional		$663.65	$1,023.86	$1,404.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,396.64 / $2,396.64 / $2,396.64	Facility		$2,396.64	$2,396.64	$2,396.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $578.32 / $1,872.09 / $3,261.52	Professional		$578.32	$1,872.09	$3,261.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,268.85 / $3,320.91 / $4,277.27	Professional		$1,268.85	$3,320.91	$4,277.27
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 $422.61 / $836.48 / $1,761.77	Professional		$422.61	$836.48	$1,761.77