Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.45 / $1,738.27 / $14,482.00	Facility		$219.45	$1,738.27	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.04 / $790.97 / $1,979.05	Professional		$143.04	$790.97	$1,979.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $6,787.00 / $10,517.23	Facility		$1,183.00	$6,787.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.94 / $474.66 / $1,213.72	Professional		$221.94	$474.66	$1,213.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,189.06 / $3,726.67 / $6,010.99	Facility		$3,189.06	$3,726.67	$6,010.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.96 / $497.43 / $4,222.95	Professional		$167.96	$497.43	$4,222.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $115.18 / $1,020.31 / $2,085.92	Facility		$115.18	$1,020.31	$2,085.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.72 / $1,888.83 / $11,598.00	Facility		$131.72	$1,888.83	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,242.56 / $2,565.67 / $6,621.89	Professional		$1,242.56	$2,565.67	$6,621.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $611.99 / $994.23 / $2,343.63	Professional		$611.99	$994.23	$2,343.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $115.18 / $715.24 / $2,265.37	Facility		$115.18	$715.24	$2,265.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $227.54 / $1,186.29 / $3,707.61	Professional		$227.54	$1,186.29	$3,707.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $960.12 / $960.12 / $960.12	Facility		$960.12	$960.12	$960.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $237.04 / $4,158.75 / $8,532.56	Professional		$237.04	$4,158.75	$8,532.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $774.50 / $4,581.70 / $11,351.08	Professional		$774.50	$4,581.70	$11,351.08
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,242.56 / $2,332.44 / $5,132.68	Professional		$1,242.56	$2,332.44	$5,132.68