Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.62 / $903.86 / $14,482.00	Facility		$654.62	$903.86	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.07 / $654.62 / $2,198.36	Professional		$460.07	$654.62	$2,198.36
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 $505.47 / $861.77 / $2,238.65	Professional		$505.47	$861.77	$2,238.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,602.19 / $1,872.29 / $3,019.93	Facility		$1,602.19	$1,872.29	$3,019.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.29 / $1,201.21 / $2,574.13	Professional		$534.29	$1,201.21	$2,574.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $479.93 / $677.37 / $1,152.31	Facility		$479.93	$677.37	$1,152.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $479.93 / $903.86 / $8,384.00	Facility		$479.93	$903.86	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $610.64 / $1,282.33 / $4,921.06	Professional		$610.64	$1,282.33	$4,921.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $320.47 / $978.94	Professional		$58.42	$320.47	$978.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $469.20 / $677.37 / $1,163.20	Facility		$469.20	$677.37	$1,163.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $846.30 / $1,373.69 / $2,022.50	Professional		$846.30	$1,373.69	$2,022.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,061.44 / $3,061.44 / $3,061.44	Facility		$3,061.44	$3,061.44	$3,061.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $745.71 / $2,555.46 / $4,921.06	Professional		$745.71	$2,555.46	$4,921.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,732.03 / $4,227.21 / $5,838.59	Professional		$1,732.03	$4,227.21	$5,838.59
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 $610.64 / $1,178.83 / $2,537.38	Professional		$610.64	$1,178.83	$2,537.38