Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.11 / $924.92 / $14,482.00	Facility		$642.11	$924.92	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.71 / $746.50 / $2,270.28	Professional		$444.71	$746.50	$2,270.28
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 $495.81 / $845.31 / $2,180.61	Professional		$495.81	$845.31	$2,180.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,641.84 / $1,918.62 / $3,094.67	Facility		$1,641.84	$1,918.62	$3,094.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.85 / $1,187.26 / $2,624.04	Professional		$528.85	$1,187.26	$2,624.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $474.44 / $665.75 / $1,150.48	Facility		$474.44	$665.75	$1,150.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $474.44 / $924.92 / $8,384.00	Facility		$474.44	$924.92	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $580.36 / $1,300.53 / $4,946.76	Professional		$580.36	$1,300.53	$4,946.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $320.47 / $951.76	Professional		$58.42	$320.47	$951.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $474.44 / $665.75 / $1,150.48	Facility		$474.44	$665.75	$1,150.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $834.60 / $1,372.10 / $2,042.94	Professional		$834.60	$1,372.10	$2,042.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,012.90 / $3,012.90 / $3,012.90	Facility		$3,012.90	$3,012.90	$3,012.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $730.62 / $2,605.01 / $4,946.76	Professional		$730.62	$2,605.01	$4,946.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,765.61 / $4,170.03 / $5,951.79	Professional		$1,765.61	$4,170.03	$5,951.79
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 $606.50 / $1,133.35 / $2,576.21	Professional		$606.50	$1,133.35	$2,576.21