Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.76 / $808.58 / $14,482.00	Facility		$585.76	$808.58	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.39 / $474.59 / $1,089.38	Professional		$362.39	$474.59	$1,089.38
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 $390.76 / $756.30 / $1,824.87	Professional		$390.76	$756.30	$1,824.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,182.27 / $1,381.58 / $2,228.42	Facility		$1,182.27	$1,381.58	$2,228.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.62 / $922.52 / $1,605.89	Professional		$447.62	$922.52	$1,605.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $405.19 / $573.42 / $857.73	Facility		$405.19	$573.42	$857.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $408.72 / $764.60 / $8,384.00	Facility		$408.72	$764.60	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $435.24 / $943.45 / $3,303.68	Professional		$435.24	$943.45	$3,303.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $244.01 / $709.49	Professional		$58.42	$244.01	$709.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $405.19 / $573.42 / $1,033.64	Facility		$405.19	$573.42	$1,033.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $756.60 / $1,034.91 / $1,419.32	Professional		$756.60	$1,034.91	$1,419.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,745.36 / $2,745.36 / $2,745.36	Facility		$2,745.36	$2,745.36	$2,745.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $660.30 / $1,902.30 / $3,303.68	Professional		$660.30	$1,902.30	$3,303.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,682.66 / $3,802.33 / $4,316.57	Professional		$1,682.66	$3,802.33	$4,316.57
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.73 / $856.60 / $1,887.98	Professional		$439.73	$856.60	$1,887.98