Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.72 / $512.08 / $9,245.00	Facility		$411.72	$512.08	$9,245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.75 / $547.00 / $1,403.74	Professional		$292.75	$547.00	$1,403.74
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 $291.19 / $625.39 / $1,766.97	Professional		$291.19	$625.39	$1,766.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $792.08 / $925.61 / $1,492.98	Facility		$792.08	$925.61	$1,492.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.47 / $646.74 / $1,351.65	Professional		$328.47	$646.74	$1,351.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $283.79 / $434.66 / $883.92	Facility		$283.79	$434.66	$883.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.22 / $621.22 / $4,195.00	Facility		$302.22	$621.22	$4,195.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.17 / $959.45 / $4,446.43	Professional		$338.17	$959.45	$4,446.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $187.73 / $524.49	Professional		$26.31	$187.73	$524.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $283.79 / $445.29 / $1,113.23	Facility		$283.79	$445.29	$1,113.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $530.40 / $694.14 / $999.33	Professional		$530.40	$694.14	$999.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,248.33 / $2,248.33 / $2,248.33	Facility		$2,248.33	$2,248.33	$2,248.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $491.82 / $1,332.35 / $4,446.43	Professional		$491.82	$1,332.35	$4,446.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,336.10 / $2,670.07 / $3,019.84	Professional		$1,336.10	$2,670.07	$3,019.84
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 $333.47 / $664.24 / $1,558.58	Professional		$333.47	$664.24	$1,558.58