Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.69 / $362.41 / $3,119.00	Facility		$146.69	$362.41	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.69 / $220.32 / $645.89	Professional		$146.69	$220.32	$645.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.72 / $495.10 / $1,003.86	Professional		$228.72	$495.10	$1,003.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $692.96 / $809.78 / $1,242.22	Facility		$692.96	$809.78	$1,242.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.02 / $416.43 / $713.93	Professional		$192.02	$416.43	$713.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $175.43 / $308.79 / $712.59	Facility		$175.43	$308.79	$712.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $193.28 / $475.06 / $7,318.09	Facility		$193.28	$475.06	$7,318.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $232.41 / $469.68 / $1,311.84	Professional		$232.41	$469.68	$1,311.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $190.84 / $511.19	Professional		$29.98	$190.84	$511.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $175.43 / $308.79 / $712.59	Facility		$175.43	$308.79	$712.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $396.76 / $594.39 / $855.70	Professional		$396.76	$594.39	$855.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $339.86 / $454.22 / $835.40	Facility		$339.86	$454.22	$835.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $287.64 / $840.80 / $1,933.04	Professional		$287.64	$840.80	$1,933.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $379.97 / $748.30 / $1,115.21	Professional		$379.97	$748.30	$1,115.21
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 $210.54 / $362.44 / $936.17	Professional		$210.54	$362.44	$936.17