Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.48 / $839.54 / $14,482.00	Facility		$606.48	$839.54	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.17 / $607.92 / $2,143.19	Professional		$406.17	$607.92	$2,143.19
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 $399.58 / $783.05 / $1,884.86	Professional		$399.58	$783.05	$1,884.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,221.02 / $1,426.86 / $2,301.46	Facility		$1,221.02	$1,426.86	$2,301.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.28 / $963.83 / $1,656.80	Professional		$461.28	$963.83	$1,656.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $419.25 / $597.01 / $875.47	Facility		$419.25	$597.01	$875.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $421.20 / $788.87 / $5,639.00	Facility		$421.20	$788.87	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $444.34 / $967.01 / $3,405.76	Professional		$444.34	$967.01	$3,405.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $205.52 / $730.73	Professional		$57.05	$205.52	$730.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $419.25 / $597.01 / $1,010.84	Facility		$419.25	$597.01	$1,010.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $785.20 / $1,070.40 / $1,468.00	Professional		$785.20	$1,070.40	$1,468.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,846.52 / $2,846.52 / $2,846.52	Facility		$2,846.52	$2,846.52	$2,846.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $684.12 / $1,964.60 / $3,405.76	Professional		$684.12	$1,964.60	$3,405.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,833.34 / $3,942.49 / $4,453.39	Professional		$1,833.34	$3,942.49	$4,453.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.34 / $879.10 / $1,926.11	Professional		$444.34	$879.10	$1,926.11