Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.59 / $974.63 / $14,482.00	Facility		$704.59	$974.63	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.83 / $704.59 / $2,227.76	Professional		$454.83	$704.59	$2,227.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.44 / $903.20 / $2,390.42	Professional		$499.44	$903.20	$2,390.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,531.90 / $1,790.15 / $2,887.45	Facility		$1,531.90	$1,790.15	$2,887.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.17 / $1,192.72 / $2,632.66	Professional		$540.17	$1,192.72	$2,632.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $519.79 / $697.58 / $1,035.95	Facility		$519.79	$697.58	$1,035.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $519.79 / $892.50 / $8,384.00	Facility		$519.79	$892.50	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $564.41 / $1,220.18 / $4,495.07	Professional		$564.41	$1,220.18	$4,495.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $294.16 / $911.52	Professional		$58.42	$294.16	$911.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $497.71 / $697.58 / $1,091.92	Facility		$497.71	$697.58	$1,091.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $913.25 / $1,340.17 / $1,929.38	Professional		$913.25	$1,340.17	$1,929.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,301.32 / $3,301.32 / $3,301.32	Facility		$3,301.32	$3,301.32	$3,301.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $798.09 / $2,442.23 / $4,495.07	Professional		$798.09	$2,442.23	$4,495.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,655.30 / $4,571.08 / $5,579.90	Professional		$1,655.30	$4,571.08	$5,579.90
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 $581.04 / $1,148.29 / $2,418.48	Professional		$581.04	$1,148.29	$2,418.48