Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.74 / $878.31 / $14,482.00	Facility		$635.74	$878.31	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.10 / $565.74 / $1,659.03	Professional		$384.10	$565.74	$1,659.03
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 $421.00 / $820.82 / $1,978.59	Professional		$421.00	$820.82	$1,978.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,276.89 / $1,492.14 / $2,406.77	Facility		$1,276.89	$1,492.14	$2,406.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.00 / $1,014.29 / $1,733.15	Professional		$484.00	$1,014.29	$1,733.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $437.73 / $605.05 / $922.48	Facility		$437.73	$605.05	$922.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $437.73 / $819.00 / $4,130.00	Facility		$437.73	$819.00	$4,130.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $466.29 / $1,017.79 / $3,562.80	Professional		$466.29	$1,017.79	$3,562.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $258.77 / $760.04	Professional		$58.42	$258.77	$760.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $425.83 / $624.58 / $979.78	Facility		$425.83	$624.58	$979.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $822.25 / $1,118.52 / $1,533.99	Professional		$822.25	$1,118.52	$1,533.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,475.85 / $3,475.85 / $3,475.85	Facility		$3,475.85	$3,475.85	$3,475.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $717.51 / $2,060.90 / $3,562.80	Professional		$717.51	$2,060.90	$3,562.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,381.99 / $4,128.02 / $4,658.56	Professional		$1,381.99	$4,128.02	$4,658.56
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 $474.35 / $925.26 / $2,031.55	Professional		$474.35	$925.26	$2,031.55