Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.23 / $610.70 / $4,587.43	Facility		$175.23	$610.70	$4,587.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.23 / $251.44 / $685.11	Professional		$175.23	$251.44	$685.11
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 / $565.10 / $1,201.95	Professional		$271.58	$565.10	$1,201.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $790.28 / $923.51 / $1,416.68	Facility		$790.28	$923.51	$1,416.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.75 / $419.72 / $766.41	Professional		$217.75	$419.72	$766.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $205.86 / $352.85 / $814.26	Facility		$205.86	$352.85	$814.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $222.30 / $566.73 / $3,995.00	Facility		$222.30	$566.73	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $283.62 / $577.40 / $1,552.64	Professional		$283.62	$577.40	$1,552.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $167.00 / $524.74	Professional		$26.80	$167.00	$524.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $205.86 / $352.85 / $814.26	Facility		$205.86	$352.85	$814.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $460.88 / $678.57 / $961.72	Professional		$460.88	$678.57	$961.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $403.54 / $539.33 / $1,465.44	Facility		$403.54	$539.33	$1,465.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $266.27 / $1,017.10 / $2,205.67	Professional		$266.27	$1,017.10	$2,205.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $459.75 / $888.71 / $1,274.50	Professional		$459.75	$888.71	$1,274.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $3,068.00 / $4,985.00	Facility		$2,385.00	$3,068.00	$4,985.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.01 / $429.30 / $1,198.10	Professional		$267.01	$429.30	$1,198.10