Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.05 / $561.10 / $14,482.00	Facility		$352.05	$561.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.30 / $407.89 / $1,287.50	Professional		$248.30	$407.89	$1,287.50
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 $271.83 / $502.92 / $1,222.49	Professional		$271.83	$502.92	$1,222.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.64 / $1,164.65 / $1,878.54	Facility		$996.64	$1,164.65	$1,878.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.44 / $741.66 / $1,596.30	Professional		$321.44	$741.66	$1,596.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $258.10 / $405.58 / $673.32	Facility		$258.10	$405.58	$673.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $258.10 / $540.77 / $8,384.00	Facility		$258.10	$540.77	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $377.14 / $798.39 / $3,529.22	Professional		$377.14	$798.39	$3,529.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $240.35 / $704.88	Professional		$26.31	$240.35	$704.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $258.10 / $405.58 / $705.82	Facility		$258.10	$405.58	$705.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $455.00 / $786.94 / $1,245.75	Professional		$455.00	$786.94	$1,245.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,646.64 / $1,646.64 / $1,646.64	Facility		$1,646.64	$1,646.64	$1,646.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $401.41 / $1,584.72 / $3,529.22	Professional		$401.41	$1,584.72	$3,529.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $994.10 / $2,274.56 / $3,620.68	Professional		$994.10	$2,274.56	$3,620.68
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 $377.14 / $665.08 / $1,570.16	Professional		$377.14	$665.08	$1,570.16