Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.46 / $489.24 / $3,119.00	Facility		$130.46	$489.24	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.46 / $202.09 / $532.50	Professional		$130.46	$202.09	$532.50
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 $206.95 / $454.14 / $926.45	Professional		$206.95	$454.14	$926.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $637.09 / $744.49 / $1,142.07	Facility		$637.09	$744.49	$1,142.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.38 / $328.27 / $699.76	Professional		$160.38	$328.27	$699.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $154.36 / $282.67 / $650.61	Facility		$154.36	$282.67	$650.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.30 / $422.34 / $3,593.00	Facility		$164.30	$422.34	$3,593.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $221.95 / $457.51 / $1,157.83	Professional		$221.95	$457.51	$1,157.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.44 / $216.72 / $492.74	Professional		$123.44	$216.72	$492.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $154.36 / $282.67 / $650.61	Facility		$154.36	$282.67	$650.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $341.70 / $517.00 / $769.16	Professional		$341.70	$517.00	$769.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $301.39 / $402.81 / $1,093.56	Facility		$301.39	$402.81	$1,093.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.05 / $751.45 / $1,766.72	Professional		$199.05	$751.45	$1,766.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $338.85 / $664.35 / $1,023.99	Professional		$338.85	$664.35	$1,023.99
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 $95.00 / $336.66 / $1,399.71	Professional		$95.00	$336.66	$1,399.71