Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.79 / $962.01 / $4,539.82	Facility		$306.79	$962.01	$4,539.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.31 / $429.04 / $1,130.94	Professional		$303.31	$429.04	$1,130.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.47 / $854.48 / $1,802.91	Professional		$426.47	$854.48	$1,802.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,266.97 / $1,480.56 / $2,388.09	Facility		$1,266.97	$1,480.56	$2,388.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.07 / $1,082.68 / $1,658.57	Professional		$520.07	$1,082.68	$1,658.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $306.79 / $533.79 / $919.25	Facility		$306.79	$533.79	$919.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $358.94 / $767.63 / $5,801.00	Facility		$358.94	$767.63	$5,801.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $474.94 / $1,379.47 / $2,962.95	Professional		$474.94	$1,379.47	$2,962.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $406.53 / $1,056.67	Professional		$50.00	$406.53	$1,056.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $306.79 / $519.15 / $919.25	Facility		$306.79	$519.15	$919.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $754.31 / $1,078.00 / $1,573.88	Professional		$754.31	$1,078.00	$1,573.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,323.80 / $2,323.80 / $2,323.80	Facility		$2,323.80	$2,323.80	$2,323.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $461.77 / $2,005.29 / $3,491.92	Professional		$461.77	$2,005.29	$3,491.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,079.14 / $1,861.05 / $2,676.04	Professional		$1,079.14	$1,861.05	$2,676.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $3,827.00 / $6,564.00	Facility		$2,883.00	$3,827.00	$6,564.00
United Facility/Professional Professional Modifier Low / Median / High Price $474.94 / $1,114.18 / $2,149.77	Professional		$474.94	$1,114.18	$2,149.77