Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.73 / $318.00 / $3,119.00	Facility		$70.73	$318.00	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $313.58 / $1,317.50	Professional		$70.73	$313.58	$1,317.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.12 / $470.59 / $1,540.23	Professional		$135.12	$470.59	$1,540.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $983.12 / $1,148.85 / $1,762.37	Facility		$983.12	$1,148.85	$1,762.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $300.73 / $1,067.89	Professional		$103.00	$300.73	$1,067.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $82.93 / $258.99 / $946.41	Facility		$82.93	$258.99	$946.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.05 / $389.36 / $3,641.00	Facility		$91.05	$389.36	$3,641.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $463.39 / $915.08 / $1,928.04	Professional		$463.39	$915.08	$1,928.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $209.09 / $339.80 / $795.10	Professional		$209.09	$339.80	$795.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $82.93 / $258.99 / $946.41	Facility		$82.93	$258.99	$946.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $187.07 / $378.04 / $1,181.53	Professional		$187.07	$378.04	$1,181.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $160.13 / $214.01 / $774.08	Facility		$160.13	$214.01	$774.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $707.11 / $2,669.68	Professional		$151.27	$707.11	$2,669.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $193.49 / $608.38 / $1,562.64	Professional		$193.49	$608.38	$1,562.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.95 / $802.44 / $1,825.75	Professional		$434.95	$802.44	$1,825.75