Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.69 / $985.48 / $14,482.00	Facility		$713.69	$985.48	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.38 / $713.69 / $2,313.80	Professional		$456.38	$713.69	$2,313.80
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 $551.08 / $931.83 / $2,220.52	Professional		$551.08	$931.83	$2,220.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,727.45 / $2,018.66 / $3,256.02	Facility		$1,727.45	$2,018.66	$3,256.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.90 / $1,251.31 / $2,332.03	Professional		$571.90	$1,251.31	$2,332.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $496.57 / $717.88 / $1,232.24	Facility		$496.57	$717.88	$1,232.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $525.59 / $977.09 / $8,384.00	Facility		$525.59	$977.09	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $653.09 / $1,368.97 / $4,777.92	Professional		$653.09	$1,368.97	$4,777.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $343.81 / $1,023.15	Professional		$58.42	$343.81	$1,023.15
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $488.30 / $713.69 / $1,232.44	Facility		$488.30	$713.69	$1,232.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $923.00 / $1,460.84 / $2,048.92	Professional		$923.00	$1,460.84	$2,048.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,344.76 / $3,344.76 / $3,344.76	Facility		$3,344.76	$3,344.76	$3,344.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $805.86 / $2,743.56 / $4,777.92	Professional		$805.86	$2,743.56	$4,777.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,030.32 / $4,634.10 / $6,268.38	Professional		$2,030.32	$4,634.10	$6,268.38
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 $653.09 / $1,181.44 / $2,719.67	Professional		$653.09	$1,181.44	$2,719.67