Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.44 / $491.47 / $9,285.04	Facility		$149.44	$491.47	$9,285.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.44 / $207.07 / $900.53	Professional		$149.44	$207.07	$900.53
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 $221.42 / $457.49 / $946.19	Professional		$221.42	$457.49	$946.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.49 / $740.28 / $1,135.60	Facility		$633.49	$740.28	$1,135.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.44 / $348.44 / $646.77	Professional		$185.44	$348.44	$646.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $178.46 / $284.54 / $655.29	Facility		$178.46	$284.54	$655.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.59 / $436.86 / $4,821.00	Facility		$199.59	$436.86	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $224.21 / $420.96 / $1,349.04	Professional		$224.21	$420.96	$1,349.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.76 / $186.96 / $419.70	Professional		$102.76	$186.96	$419.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $178.46 / $284.54 / $655.29	Facility		$178.46	$284.54	$655.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $392.99 / $566.38 / $778.90	Professional		$392.99	$566.38	$778.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $351.82 / $470.21 / $1,278.06	Facility		$351.82	$470.21	$1,278.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $225.09 / $856.00 / $1,771.36	Professional		$225.09	$856.00	$1,771.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $375.80 / $772.88 / $1,022.33	Professional		$375.80	$772.88	$1,022.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.14 / $363.75 / $937.90	Professional		$212.14	$363.75	$937.90