Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.29 / $350.01 / $1,894.00	Facility		$142.29	$350.01	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $218.60 / $633.25	Professional		$142.29	$218.60	$633.25
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 $222.63 / $484.57 / $999.89	Professional		$222.63	$484.57	$999.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.35 / $795.04 / $1,219.60	Facility		$680.35	$795.04	$1,219.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.78 / $352.87 / $748.10	Professional		$175.78	$352.87	$748.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $166.48 / $302.43 / $685.44	Facility		$166.48	$302.43	$685.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $178.38 / $459.81 / $3,593.00	Facility		$178.38	$459.81	$3,593.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $238.27 / $490.40 / $1,261.11	Professional		$238.27	$490.40	$1,261.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.44 / $217.53 / $492.74	Professional		$123.44	$217.53	$492.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $166.48 / $302.43 / $685.44	Facility		$166.48	$302.43	$685.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $371.87 / $561.00 / $821.09	Professional		$371.87	$561.00	$821.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $328.23 / $438.68 / $772.06	Facility		$328.23	$438.68	$772.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $216.76 / $822.15 / $1,889.68	Professional		$216.76	$822.15	$1,889.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $372.54 / $723.45 / $1,094.71	Professional		$372.54	$723.45	$1,094.71
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 $228.80 / $361.05 / $924.86	Professional		$228.80	$361.05	$924.86