Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.62 / $925.42 / $14,482.00	Facility		$642.62	$925.42	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.45 / $708.96 / $2,085.85	Professional		$483.45	$708.96	$2,085.85
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 $496.20 / $845.97 / $2,179.23	Professional		$496.20	$845.97	$2,179.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,642.74 / $1,919.67 / $3,096.37	Facility		$1,642.74	$1,919.67	$3,096.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.09 / $1,188.34 / $2,626.39	Professional		$534.09	$1,188.34	$2,626.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $474.70 / $666.37 / $1,150.27	Facility		$474.70	$666.37	$1,150.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $483.45 / $925.42 / $8,384.00	Facility		$483.45	$925.42	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $582.59 / $1,300.53 / $4,878.83	Professional		$582.59	$1,300.53	$4,878.83
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 $474.70 / $684.45 / $1,228.50	Facility		$474.70	$684.45	$1,228.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $834.60 / $1,372.86 / $2,044.08	Professional		$834.60	$1,372.86	$2,044.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,015.78 / $3,015.78 / $3,015.78	Facility		$3,015.78	$3,015.78	$3,015.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $730.08 / $2,607.35 / $4,878.83	Professional		$730.08	$2,607.35	$4,878.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,767.20 / $4,175.47 / $5,957.22	Professional		$1,767.20	$4,175.47	$5,957.22
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 $588.34 / $1,148.56 / $2,577.21	Professional		$588.34	$1,148.56	$2,577.21