Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.56 / $574.80 / $3,119.00	Facility		$234.56	$574.80	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.56 / $336.45 / $822.33	Professional		$234.56	$336.45	$822.33
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 $362.77 / $752.95 / $1,578.68	Professional		$362.77	$752.95	$1,578.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,030.88 / $1,204.67 / $1,847.99	Facility		$1,030.88	$1,204.67	$1,847.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.45 / $582.91 / $1,064.63	Professional		$293.45	$582.91	$1,064.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $278.20 / $461.70 / $1,065.75	Facility		$278.20	$461.70	$1,065.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $306.56 / $710.30 / $4,821.00	Facility		$306.56	$710.30	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $375.58 / $750.26 / $2,082.88	Professional		$375.58	$750.26	$2,082.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $303.26 / $788.21	Professional		$29.98	$303.26	$788.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $278.20 / $461.70 / $1,065.75	Facility		$278.20	$461.70	$1,065.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $623.04 / $899.09 / $1,264.61	Professional		$623.04	$899.09	$1,264.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $539.04 / $720.43 / $1,968.06	Facility		$539.04	$720.43	$1,968.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $356.28 / $1,366.00 / $2,890.72	Professional		$356.28	$1,366.00	$2,890.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $616.80 / $1,189.11 / $1,666.27	Professional		$616.80	$1,189.11	$1,666.27
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 $367.52 / $605.75 / $1,505.70	Professional		$367.52	$605.75	$1,505.70