Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.83 / $466.63 / $3,119.00	Facility		$189.83	$466.63	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.83 / $273.16 / $831.63	Professional		$189.83	$273.16	$831.63
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 $294.49 / $608.30 / $1,279.36	Professional		$294.49	$608.30	$1,279.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $838.04 / $979.32 / $1,502.30	Facility		$838.04	$979.32	$1,502.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.41 / $466.49 / $924.94	Professional		$236.41	$466.49	$924.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $225.35 / $376.66 / $866.43	Facility		$225.35	$376.66	$866.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $248.87 / $577.62 / $3,995.00	Facility		$248.87	$577.62	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $299.68 / $609.70 / $1,684.64	Professional		$299.68	$609.70	$1,684.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $223.19 / $585.30	Professional		$29.98	$223.19	$585.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $225.35 / $376.66 / $866.43	Facility		$225.35	$376.66	$866.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $500.86 / $728.19 / $1,026.63	Professional		$500.86	$728.19	$1,026.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $437.59 / $584.84 / $1,590.84	Facility		$437.59	$584.84	$1,590.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $288.64 / $1,103.34 / $2,345.12	Professional		$288.64	$1,103.34	$2,345.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $499.41 / $963.36 / $1,353.46	Professional		$499.41	$963.36	$1,353.46
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 $277.92 / $458.78 / $1,222.16	Professional		$277.92	$458.78	$1,222.16