Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.91 / $468.00 / $1,894.00	Facility		$188.91	$468.00	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.91 / $246.59 / $767.78	Professional		$188.91	$246.59	$767.78
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 $271.58 / $560.01 / $1,203.04	Professional		$271.58	$560.01	$1,203.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $752.44 / $879.28 / $1,348.84	Facility		$752.44	$879.28	$1,348.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.66 / $405.60 / $776.49	Professional		$233.66	$405.60	$776.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $222.88 / $354.69 / $780.03	Facility		$222.88	$354.69	$780.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.62 / $520.02 / $3,995.00	Facility		$239.62	$520.02	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $270.70 / $540.76 / $1,682.16	Professional		$270.70	$540.76	$1,682.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.80 / $249.87 / $561.15	Professional		$143.80	$249.87	$561.15
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $222.88 / $354.69 / $780.03	Facility		$222.88	$354.69	$780.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $496.08 / $676.00 / $942.07	Professional		$496.08	$676.00	$942.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $438.88 / $586.55 / $1,590.90	Facility		$438.88	$586.55	$1,590.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $1,088.70 / $2,111.84	Professional		$271.60	$1,088.70	$2,111.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $429.49 / $963.78 / $1,217.53	Professional		$429.49	$963.78	$1,217.53
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 $260.01 / $448.29 / $1,131.04	Professional		$260.01	$448.29	$1,131.04