Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.18 / $952.52 / $14,482.00	Facility		$688.18	$952.52	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.45 / $738.98 / $2,417.53	Professional		$476.45	$738.98	$2,417.53
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 $531.38 / $888.53 / $2,139.21	Professional		$531.38	$888.53	$2,139.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,677.89 / $1,960.74 / $3,162.61	Facility		$1,677.89	$1,960.74	$3,162.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.20 / $1,250.15 / $2,256.11	Professional		$545.20	$1,250.15	$2,256.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $440.59 / $688.18 / $1,174.13	Facility		$440.59	$688.18	$1,174.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $476.45 / $943.01 / $8,384.00	Facility		$476.45	$943.01	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $608.40 / $1,311.09 / $4,639.43	Professional		$608.40	$1,311.09	$4,639.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $343.81 / $1,023.15	Professional		$58.42	$343.81	$1,023.15
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $440.59 / $688.18 / $1,208.31	Facility		$440.59	$688.18	$1,208.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $892.45 / $1,421.51 / $1,993.76	Professional		$892.45	$1,421.51	$1,993.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,228.84 / $3,228.84 / $3,228.84	Facility		$3,228.84	$3,228.84	$3,228.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $779.54 / $2,664.27 / $4,639.43	Professional		$779.54	$2,664.27	$4,639.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,805.78 / $4,472.52 / $6,087.14	Professional		$1,805.78	$4,472.52	$6,087.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,193.00 / $6,477.00 / $8,384.00	Facility		$3,193.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $619.42 / $1,239.61 / $2,623.67	Professional		$619.42	$1,239.61	$2,623.67