Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.80 / $641.57 / $3,895.45	Facility		$177.80	$641.57	$3,895.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.80 / $269.14 / $910.22	Professional		$177.80	$269.14	$910.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.66 / $592.71 / $1,253.60	Professional		$275.66	$592.71	$1,253.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $829.03 / $968.79 / $1,486.15	Facility		$829.03	$968.79	$1,486.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.04 / $434.15 / $836.93	Professional		$221.04	$434.15	$836.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $208.47 / $370.68 / $847.26	Facility		$208.47	$370.68	$847.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $226.09 / $575.64 / $3,641.00	Facility		$226.09	$575.64	$3,641.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $290.27 / $601.29 / $1,576.08	Professional		$290.27	$601.29	$1,576.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $216.51 / $598.61	Professional		$26.80	$216.51	$598.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $208.47 / $370.68 / $847.26	Facility		$208.47	$370.68	$847.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $468.42 / $698.26 / $1,011.48	Professional		$468.42	$698.26	$1,011.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $409.61 / $547.45 / $992.12	Facility		$409.61	$547.45	$992.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $270.17 / $1,030.80 / $2,312.64	Professional		$270.17	$1,030.80	$2,312.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $392.42 / $901.72 / $1,336.80	Professional		$392.42	$901.72	$1,336.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $285.14 / $473.28 / $1,204.61	Professional		$285.14	$473.28	$1,204.61