Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.96 / $486.09 / $3,119.00	Facility		$197.96	$486.09	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.96 / $285.33 / $692.84	Professional		$197.96	$285.33	$692.84
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 $306.77 / $641.35 / $1,353.21	Professional		$306.77	$641.35	$1,353.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.71 / $1,046.71 / $1,605.68	Facility		$895.71	$1,046.71	$1,605.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.33 / $479.30 / $924.64	Professional		$247.33	$479.30	$924.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $234.96 / $400.37 / $923.94	Facility		$234.96	$400.37	$923.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $259.25 / $615.96 / $4,821.00	Facility		$259.25	$615.96	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $315.73 / $648.38 / $1,760.40	Professional		$315.73	$648.38	$1,760.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $227.13 / $703.48	Professional		$26.80	$227.13	$703.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $234.96 / $400.37 / $923.94	Facility		$234.96	$400.37	$923.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $524.99 / $772.46 / $1,094.78	Professional		$524.99	$772.46	$1,094.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $455.84 / $609.23 / $1,663.86	Facility		$455.84	$609.23	$1,663.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $301.23 / $1,150.90 / $2,506.80	Professional		$301.23	$1,150.90	$2,506.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $519.91 / $1,005.39 / $1,446.25	Professional		$519.91	$1,005.39	$1,446.25
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 $300.80 / $511.17 / $1,214.68	Professional		$300.80	$511.17	$1,214.68