Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.34 / $741.09 / $14,482.00	Facility		$491.34	$741.09	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.27 / $533.27 / $1,366.71	Professional		$302.27	$533.27	$1,366.71
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 $379.39 / $652.82 / $1,655.92	Professional		$379.39	$652.82	$1,655.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,320.14 / $1,542.69 / $2,488.30	Facility		$1,320.14	$1,542.69	$2,488.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.55 / $949.47 / $2,104.80	Professional		$424.55	$949.47	$2,104.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $363.77 / $532.41 / $889.31	Facility		$363.77	$532.41	$889.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.77 / $687.70 / $8,384.00	Facility		$363.77	$687.70	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $443.68 / $1,024.07 / $3,700.00	Professional		$443.68	$1,024.07	$3,700.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $265.24 / $774.71	Professional		$30.95	$265.24	$774.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $346.89 / $532.41 / $908.27	Facility		$346.89	$532.41	$908.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $639.60 / $1,082.40 / $1,632.99	Professional		$639.60	$1,082.40	$1,632.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,315.82 / $2,315.82 / $2,315.82	Facility		$2,315.82	$2,315.82	$2,315.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $558.26 / $2,089.53 / $3,700.00	Professional		$558.26	$2,089.53	$3,700.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,401.11 / $3,201.97 / $4,774.06	Professional		$1,401.11	$3,201.97	$4,774.06
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 $465.14 / $910.98 / $2,049.30	Professional		$465.14	$910.98	$2,049.30