Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.44 / $553.84 / $3,119.00	Facility		$152.44	$553.84	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.44 / $234.02 / $888.25	Professional		$152.44	$234.02	$888.25
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 $236.57 / $512.53 / $1,072.41	Professional		$236.57	$512.53	$1,072.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $718.19 / $839.26 / $1,287.45	Facility		$718.19	$839.26	$1,287.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.06 / $372.12 / $739.09	Professional		$189.06	$372.12	$739.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $180.27 / $320.00 / $738.18	Facility		$180.27	$320.00	$738.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.92 / $492.30 / $3,593.00	Facility		$199.92	$492.30	$3,593.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $255.85 / $518.89 / $1,352.96	Professional		$255.85	$518.89	$1,352.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $190.84 / $513.87	Professional		$29.98	$190.84	$513.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $180.27 / $320.00 / $738.18	Facility		$180.27	$320.00	$738.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $400.53 / $601.16 / $870.85	Professional		$400.53	$601.16	$870.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $351.53 / $469.81 / $1,277.94	Facility		$351.53	$469.81	$1,277.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $232.26 / $881.80 / $1,998.72	Professional		$232.26	$881.80	$1,998.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $399.23 / $775.19 / $1,156.63	Professional		$399.23	$775.19	$1,156.63
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 $252.61 / $412.79 / $1,082.98	Professional		$252.61	$412.79	$1,082.98