Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.58 / $762.08 / $14,482.00	Facility		$550.58	$762.08	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.81 / $550.58 / $1,616.35	Professional		$352.81	$550.58	$1,616.35
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 $406.74 / $710.87 / $1,862.61	Professional		$406.74	$710.87	$1,862.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,257.06 / $1,468.98 / $2,369.41	Facility		$1,257.06	$1,468.98	$2,369.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.78 / $949.63 / $2,014.10	Professional		$425.78	$949.63	$2,014.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $389.85 / $541.91 / $848.08	Facility		$389.85	$541.91	$848.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $406.44 / $713.00 / $8,384.00	Facility		$406.44	$713.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $462.07 / $992.82 / $3,628.37	Professional		$462.07	$992.82	$3,628.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $250.69 / $766.45	Professional		$30.95	$250.69	$766.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $385.46 / $541.91 / $887.89	Facility		$385.46	$541.91	$887.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $714.35 / $1,094.84 / $1,576.21	Professional		$714.35	$1,094.84	$1,576.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,583.71 / $2,583.71 / $2,583.71	Facility		$2,583.71	$2,583.71	$2,583.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $624.30 / $1,999.49 / $3,628.37	Professional		$624.30	$1,999.49	$3,628.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,355.21 / $3,575.94 / $4,568.35	Professional		$1,355.21	$3,575.94	$4,568.35
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 $462.07 / $890.62 / $1,968.66	Professional		$462.07	$890.62	$1,968.66