Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.22 / $513.20 / $14,482.00	Facility		$371.22	$513.20	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.52 / $375.31 / $1,220.05	Professional		$262.52	$375.31	$1,220.05
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 $273.33 / $479.29 / $1,161.09	Professional		$273.33	$479.29	$1,161.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $820.92 / $959.31 / $1,547.33	Facility		$820.92	$959.31	$1,547.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.37 / $615.90 / $1,115.09	Professional		$285.37	$615.90	$1,115.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $273.70 / $371.22 / $599.59	Facility		$273.70	$371.22	$599.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $273.70 / $493.45 / $4,130.00	Facility		$273.70	$493.45	$4,130.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.51 / $661.19 / $3,340.19	Professional		$316.51	$661.19	$3,340.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $139.53 / $507.23	Professional		$28.95	$139.53	$507.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $273.70 / $371.22 / $630.47	Facility		$273.70	$371.22	$630.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $480.35 / $720.17 / $987.68	Professional		$480.35	$720.17	$987.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,740.00 / $1,740.00 / $1,740.00	Facility		$1,740.00	$1,740.00	$1,740.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $420.33 / $1,311.89 / $3,340.19	Professional		$420.33	$1,311.89	$3,340.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,144.85 / $2,407.83 / $2,997.42	Professional		$1,144.85	$2,407.83	$2,997.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.06 / $601.72 / $1,318.52	Professional		$304.06	$601.72	$1,318.52