Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.57 / $377.37 / $6,272.64	Facility		$153.57	$377.37	$6,272.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.46 / $244.04 / $1,102.22	Professional		$154.46	$244.04	$1,102.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.16 / $505.25 / $1,084.26	Professional		$238.16	$505.25	$1,084.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $703.77 / $822.42 / $1,261.60	Facility		$703.77	$822.42	$1,261.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.17 / $423.52 / $683.00	Professional		$209.17	$423.52	$683.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $180.30 / $314.61 / $721.47	Facility		$180.30	$314.61	$721.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $195.89 / $497.58 / $4,821.00	Facility		$195.89	$497.58	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.27 / $520.04 / $1,365.68	Professional		$263.27	$520.04	$1,365.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.44 / $249.06 / $558.32	Professional		$123.44	$249.06	$558.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $180.30 / $314.61 / $721.47	Facility		$180.30	$314.61	$721.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $408.08 / $600.40 / $860.03	Professional		$408.08	$600.40	$860.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $353.89 / $472.97 / $861.12	Facility		$353.89	$472.97	$861.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $300.01 / $891.55 / $1,967.20	Professional		$300.01	$891.55	$1,967.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $400.05 / $780.42 / $1,135.76	Professional		$400.05	$780.42	$1,135.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.66 / $421.55 / $1,099.11	Professional		$251.66	$421.55	$1,099.11